Thursday 23 October 2014

Medical Tourism in India



Improving Medical Tourism in India
This is the second article of series I am writing on tourism in India. The first article highlighted some major ways in which we can boost the inflow of foreign tourists to India.  
As we saw earlier medical treatment can be one of the major reasons for tourism. Today, India is ranked among the world’s top 5 most sought destinations for the purpose of medical treatments by foreign nationals. In simpler terms, traveling to another country for the purpose of seeking medical treatment in that country constitutes medical tourism.   
India is known mostly for its cost-effective medical treatments along with high standards of care in areas including cardiology, orthopaedics, nephrology, oncology, dentistry and neuro surgery. India is also gaining increasing recognition as a center of excellence for complementary and alternative treatment options like yoga and ayurveda.
According to a study done by the PHD Chamber of Commerce and Industry, India along with Thailand and Singapore is placed among the top three medical tourism destinations in Asia. Some of the leading factors contributing to this success are low cost of treatment, quality healthcare infrastructure and availability of highly-skilled doctors. The study found that these three countries together accounted for about 60 percent of the total Asian medical tourism revenue in 2012. The table below provides details of India’s market share of medical tourism. 


Typically, most of the medical centers catering to medical tourism receive accreditation by an international agency. Accreditation by Joint Commission International is one of the most widely recognized regulatory compliances for medical tourism. Currently India has 21 medical care centers which have been accredited by the Joint Commission.  Complying and sustaining the highest standards of quality and safety requires a huge capital investment and availability of highly qualified support and operations staff. This adds to the cost of setting and running such centers and becomes a barrier in increasing the number of center which can supply care for medical tourists.  Increasing the capacity will boost the medical tourism in India along with having a synergistic influence of all sectors of tourism.   
Some of the efforts by the Government of India to promote medical tourism include measures like:
1)      Offering tax breaks and export incentives to practicing hospitals and health and wellness centers.
2)      Extending the time period of the Mvisa and MXvisa (Medical Visa).
3)      Providing market development assistance to the health centers.
Additionally, state governments/union territory administrations and other stakeholders are promoting medical tourism as a niche product in the international markets. The Ministry of Tourism is also promoting medical and wellness tourism by organizing road shows in potential markets as well as exhibiting and participating in various international travel events.
However, given the increasing importance of medical tourism and the special attention needed for nurturing an environment to promote it, I am of the opinion that the government should have a separate body for promoting medical tourism. This is similar to the move where few years ago the Government of India (GOI) separated the promotion of pharmaceuticals from under CHEMEXCIL and formed PHARMEXCIL, a new export promotion council dedicated exclusively to pharmaceuticals. The positive result from such moves supports the creation of a new agency dedicated exclusively to medical tourism.  
The easing of visa norms is a welcome move as patients can meet the doctors, go back and discuss the details with their families, and return for the procedure. Earlier, most of these discussions took place over email or through intermediaries. Nothing can substitute the feeling of visiting your doctor personally and observing the health care facility where you intend to get treatment. This in itself may serve as an encouragement for people to consider getting treatment in a foreign country.
Some of the Middle Eastern countries and Russia are already upbeat about the proposal. Current trends show and upward rise in the number of visa issued for medical purposes leading to a significant increase in the number of patients arriving in India for medical treatment. Not only Arab patients but their relatives accompanying them also feel at home in India. One of the key factors can be the presence of a number of restaurants in India which serve their local food. Shared religious and cultural context can also add in making India a preferred destination for medical tourism. An improved air-rail-road connectivity can ease the travel concerns of the patients.
Concentrated efforts will be needed to improve medical tourism in India and thereby also benefit overall tourism. As the above figure depicts, currently India accounts for only 2-3% of the total global medical tourism. So there is tremendous scope to improve and grow. An offshoot of improvement in medical tourism can also be the health benefits to local population by the way of better medical facilities, enhanced training of allied health professionals and an exchange of best medical practices from around the world.