Category Archives: Medical Tourism/Health Tourism

Medical travel aids Lufthansa in resuscitating bottom line

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New York : 

When an airline executive proudly announces, “It’s better to get a heart attack on Lufthansa than any other place,” you know right away she has a different perspective and isn’t ready to dismiss the profit-making potential of the airline’s medical and health division.

While sun and fun is nice and business travel is rebounding from the global economic downturn, medical tourism is growing by 15-20 percent a year according to PatientsBeyondBorders.com.

Stefanie del Signore, manager of Lufthansa’s leisure, medical and health division knows that better than most. She spends her time traveling the world, demonstrating a menu of health-related special services offered by the German carrier. From 18 different ingredient-restricted meals and supplemental oxygen to larger seats and flexible tickets for people traveling to or from medical treatments, del Signore is touting medical companions, physician services, a stretcher in a curtained off area or even a full and private onboard ICU.

You read that right. With 48 hours notice and for between 32,000 to 68,000 euros, Lufthansa can install what it calls its Patient Transport Compartment (PTC) in the center of some of its widebody Boeing 747-400s and Airbus A340s. Here, ill or recuperating travelers, their doctor and a medically trained escort have the equivalent of an intensive care unit for the duration of the flight.

“Lufthansa is the only airline offering this service, it’s like a hospital in the air,” del Signore, said of the PTC which is complete with high tech gadgets and monitors. Developed by Lufthansa Technik, the unit and seating meets regulatory crashworthiness standards even with a traveler in a lie-flat position and unconscious.

“The bulk of our business is coming from Arabic and Russian countries,” del Signore told me. Still, of all the medical products Lufthansa offers, the PTC is the least used. More common is the stretcher that can be ordered with 48 hours advance notice, and is placed in an area of about 8 seats in the back of the economy section. One need not be rich or suffering from some exotic illness to need it. In fact, a number of elderly cruise customers having injured themselves at sea have paid about 18,000 euros to fly prone from Miami to Frankfurt.

“Sometimes people do risky sports outside during holidays, para gliders, motorcycles and they have serious accidents,” said Dr. Raoul Breitkreutz, the airline’s Medical Director. Lufthansa used the stretchers to evacuate 3,600 Germans in need of medical care following a tsunami in December 2004, an operation that took four days and one that Dr. Breitkreutz called the most difficult of his career at the airline.

Most of Lufthansa’s customers are taking advantage of the less sophisticated medical paraphernalia, including a 24-hour call center staffed by medical professionals, oxygen on board and access for people with limited mental or physical abilities. But it is the Technik-designed specialized stretcher and flying ICU that took millions of dollars in development money that show great promise. Dr. Breitkreutz points out that because big airliners can fly long distances without refueling, flying a patient on an airliner is a faster alternative to transport by private jet.

Several of the PTCs have been sold to the US military, 12 are on Army Lockheed C-130 Hercules aircraft, Dr. Breitkreutz said. A few have been installed on the airplanes of private citizens in the Middle East.

There are rumors that both Gulf carriers, Etihad and Emirates have been working on their own version though neither airline responded to questions on this subject.

“This is the heart of our medical product because we are the only airline that shows to the public we are really unique and we really care,” del Signore told me enthusiastically at the end of a meeting explaining it all to slack-jawed reporters. Here is where, from del Signore’s perspective, medical travel can do its part to resuscitate Lufthansa’s bottom line.

source: http://www.runawaygirlnetwork.com / RunAwaygirlNetwork / Home / by Christine Negroni / New York

Dubai: Come for the seven-star hotel, stay for a nose job

Dubai :

Most tourists flock to Dubai for its man-made islands and the world’s tallest building. But Marina Ivanova went to the desert city for liposuction.

The Moscow resident had looked for a place that would suit both her medical and vacation needs. While access to top-notch surgeons was key, just as important were the golf courses and spa centers during her monthlong getaway.

“I had always wanted to come spend some time in Dubai, so I thought, ‘Why not combine the trip?’” said Ivanova, who works in the logistics department of a glass manufacturing company. “I heard that cosmetic surgeries here are quite well-known.”

Already one of world’s 10 most visited cities, Dubai is counting on more people like Ivanova to mix their holidays with high-end treatments for a luxurious form of medical tourism, rivaling Thailand and India. Now, it’s trying to attract 500,000 such visitors, adding 2.6 billion dirhams ($708 million) to its economy by 2020, according to a Dubai Health Authority plan announced this year.

Clinics like the American Academy of Cosmetic Surgery Hospital are helping. The marble-floored lobby is adorned with sculptures of Greek gods and gold-enameled vases. Saudis sit beside Europeans on a purple velvet couch under a matching chandelier as they wait for nose jobs or breast implants. A private elevator carries celebrities and Arab royalty to a VIP suite as Rolls Royces and Ferraris line the parking lot outside.

For centuries, people have traveled to hot springs and seaside resorts in search of better health. In the 1990s and early 2000s, as rising global trade and tourism converged with the ballooning costs for medical care in developed countries, emerging markets such as India and Thailand set out to recruit patients by providing cheaper care at internationally accredited hospitals.

Among the challenges Dubai may face as it seeks to capture a share of an industry worth more than $30 billion, is that it’s too expensive to compete on cost with destinations like India, and isn’t highly regarded enough to compete on quality with the U.S. and Europe, according to Josef Woodman, chief executive officer of Patients Beyond Borders, which publishes books on medical tourism. What the desert city does have is a reputation for luxury, and it’s using that to carve out a niche in the medical tourism market.

Lacking the oil and gas of neighboring Abu Dhabi, Dubai racked up $129 billion of debt transforming itself into a tourist destination and the Middle East base for banks such as HSBC Holdings Plc and Deutsche Bank AG.

“Tourists already come to Dubai for shopping, sight-seeing and luxury,” said Raja Easa al Gurg, deputy chairperson of the board of directors at Dubai Healthcare City, a sprawling 4 million square-foot health care zone that’s home to two hospitals, and 120 outpatient medical centers and diagnostic laboratories. “We need to scale up our health care industry anyway, as millions of people flood our city and Dubai becomes a major financial hub.”

Such efforts over the past decade have met setbacks and disappointments. The transformation of the local medical system came to a halt in 2009 after Abu Dhabi was forced to bail out its neighbor to prevent a default. When the debt crisis froze investments, Harvard University and the Mayo Clinic, who had been brought in to help upgrade Dubai’s medical system, quietly packed up and left the health care zone.

In 2011, Princess Haya Bint al-Hussein, one of Dubai Sheikh Mohammed bin Rashid al-Maktoum’s wives, was appointed to restructure the hub. She hired a new CEO and a new strategy was laid out, including a renewed effort to boost medical tourism, with a focus on elective surgeries such as aesthetic procedures. The approach spurned what had been an emphasis on real-estate leases and instead focused on establishing centers of excellence in areas such as cardiology and oncology.

“It started as a real estate venture,” Woodman said. “Building came up and there were lease agreements. What they didn’t have was a training infrastructure for doctors. Expertise just doesn’t spring up out of the desert. It takes generations.”

The government is now focusing on branding Dubai as a health care hub through advertisements as well as partnerships with medical tourism facilitators, who will package deals for visitors, said Laila al-Jassmi, who until last year headed the Dubai Health Authority’s Health Policy and Strategy Sector.

Clinics such as the American Academy of Cosmetic Surgery Hospital have promoted their services directly to residents of eastern European and Gulf countries, the main markets Dubai is seeking to target.

“ Dubai is an 8-hour flying time from two-thirds of the world’s population and has earned a growing reputation as a leading global gateway and hub for trade, logistics and tourism,” Sheikh Ahmad bin Saeed al-Maktoum, who chairs the boards of some of Dubai’s biggest companies, said in a Dubai Healthcare City commercial aired on CNN. “Now we are focused on earning a reputation for excellence in health care.”

Dubai Healthcare City representatives say its focus on elective surgeries and a plan to build a wellness center will create a niche market. It’s still working to improve its care in areas such as oncology and cardiology to keep locals from going abroad for more complicated procedures. Demand for such services is rising with the rate of obesity among a population that craves fast food and gives short shrift to exercise.

While Dubai introduced universal health care this year, large gaps exist between state-provided health care and private care, according to Alpen Capital, an investment bank focused in the Gulf and Asia.

More than 30 percent of the emirates population still prefers going abroad for care, a legacy of a time when the health care industry was practically nonexistent.

“I know stories of patients going abroad for infertility treatment for a full year,” said David Hadley, chief executive officer at Mediclinic Middle East, Dubai’s largest private health care company with two hospitals and eight clinics. “The infertility centers are fantastic here, but there are still misperceptions.”

Dubai’s economy is recovering and growth may reach 4.7 percent this year, the fastest pace since 2007, according to Mohamed Lahouel, chief economist for the Dubai Department of Economic Development. That’s led foreign health care institutions to plant their seeds back in the UAE.

Moorfields Eye Hospital, the 209-year-old London clinic, opened its first branch in Dubai in 2006 and has plans for another branch in Abu Dhabi. The hospital, which gets as many as 15 percent of its patients from abroad, is betting that wealthy Gulf residents, who for decades have flocked to Europe and the U.S. for medical treatment, will increasingly stay in the region for medical care, said Mariano Gonzalez, managing director of the Moorfields UAE division.

source: http://www.dailystar.com.lb / The Daily Star, Lebanon / Home> News> Regional / by Daniel Wainer, Bloomberg / September 26th, 2014

Dubai, The World’s Hospital?

The UAE’s amended visa policy is a step forward in Dubai’s goal of attracting 500,000 medical tourists per year by 2020.

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The UAE recently announced an amended visa policy with new options specifically introduced for medical tourists. Under the new rules, a medical treatment visa costs Dhs550, with a multiple entry visa priced at Dhs1,400 and a visa for a patient’s escort also priced at Dhs1,400.

The move is part of the UAE’s and specifically Dubai’s strategy of becoming a medical tourism hub within the next few years. The emirate aims to attract up to 500,000 people per year for medical tourism by 2020, with a goal of the sector contributing Dhs2.6 billion to its GDP by then.

The introduction of the new visas is a positive step towards the fulfillment of the target set for 2020, according to Sandeep Sinha, VP, Healthcare Practice, Middle East, North Africa and South Asia, Frost & Sullivan.

The visas will also help in measuring the number of medical tourists entering the UAE (from countries that require visas), which in turn can help support future planning and improvement in the emirate’s medical tourism offerings, added Dr. Fatma Al Sharaf, Strategy and Partner Development manager at Dubai Healthcare City (DHCC).

However, Nikhil Idnani, principal with Strategy&, formerly Booz & Company, opined that the move would not necessarily provide a major boost to medical tourism. “It will not be a big driver as it is fairly easy to obtain a UAE visa already,” he said.

“Those who can afford to travel to UAE for medical reasons, would anyhow be able to get a visit/ tourist visa to Dubai relatively easily.”

What is required is a combined effort from all the stakeholders – including the healthcare sector, the tourism industry and government officials to ensure that patients have a hassle-free experience, according to experts.

“A combination of efforts from healthcare and other sectors will generate the required amount of push to achieve the targets,” said Sinha.

A wider strategy is already in place – Dubai Health Authority (DHA) officials have confirmed that emirate’s first medical tourism package for overseas patients, which will cover treatment costs, visa, accommodation and recreational activities for families who accompany the patient, will be launched later this year.

Hospitals that wish to participate will be evaluated and will need to pass stringent verification measures.

Essa Al Maidoor, director-general of the DHA, said: “Dubai is the world’s leading destination for tourism and leisure and since it offers excellent health-care facilities, medical tourism is an extension of the hospitality that Dubai is synonymous with.

“Ensuring that all players work hand-in-hand with us and are aligned with the overall medical tourism strategy will ensure smooth functioning of a dynastic health sector and will benefit both medical tourists as well as the health-care providers,” he said.

The DHA plans to build 22 hospitals including 18 private and four public hospitals in the next few years to support the high volumes of medical tourists.

“These initiatives are more focussed on enhancing the private sector infrastructure, with the number of private-sector healthcare staff expected to increase by more than 3,800,” said Sinha.

The authority will also be launching a dedicated website for medical tourism later this year.

WHY IT COULD WORK

According to a survey conducted by DHCC, 80 per cent of medical tourists come to Dubai for quality of care, 61 per cent said it is for the city’s experienced physicians, while 48 per cent highlighted the availability of specialist treatments.

The emirate benefits from accessibility to healthcare with shorter waiting times, safety and security, tourist attractions, state-of-the-art infrastructure and a robust hospitality industry, said Dr. Al Sharaf.

Another huge advantage is the UAE’s strategic location between the east and the west, which can also play a big role in helping the country compete with traditionally strong medical tourism markets across the world, including cheaper destinations in Asia, such as Thailand and Singapore.

“The country’s location is an advantage compared to Asian countries that are further away from Europe and hence European/ UK tourists would have to travel quite some distance to Asia for medical tourism,” said Idnani.

“Additionally, the marketing done by the UAE on positioning itself as a medical tourism hub, is also helping this cause,” he added.

In terms of costs, even if a location like Dubai is more expensive, it stands out in terms of its brand, supplementary attractions and relatively shorter commuting times from its main markets, added Sinha.

The numbers also seem to substantiate these facts – DHCC, which had up to one million patients in 2013, claims up to 15 per cent of its patients are medical tourists. It has catered to people from the GCC countries, Libya, Iraq, Iran, Nigeria, Tunisia and Djibouti, confirmed Dr. Al Sharaf.

BIGGEST HURDLES

One of the main challenges in the region is to reverse the outbound medical tourism trend, and provide specialised services in line with the required capacity and the prevalence of lifestyle diseases, experts suggest.

“Currently the UAE lacks many highly specialised facilities, i.e. those providing the highest levels of care (quaternary care) – things like brain surgery, robotic heart surgery, specialised oncology surgery, etc,” explained Idnani.

“Although the volume for such cases is small, and given the low population of the UAE, such specialised services can only be sustainable if patients are attracted from abroad. So it is a chicken and egg story,” he added.

The UAE, which is new to the industry in comparison to countries with older, developed health systems, requires a more focused approach to promote its available services, stated Dr. Al Sharaf.

“With inbound medical tourism strengthening in the UAE, patients increasingly seek quality assurance. One way to build this assurance is through international medical tourism accreditation organisations.”

She also highlighted that industry problems such as patient education and awareness of services, quality, licensing and patient rights. “Another challenge is the spectrum of care after a patient leaves the destination to his home country,” she said.

“When healthcare is no longer confined by geographical borders, challenges of policy and regulation are at the forefront. Factors of accreditation, medical visas, and follow-up care, among others are all crucial,” she added.

source: http://www.gulfbusiness.com / Gulf Business / Home> Analysis> Dubai> Healthcare> Insights / by Aarti Nagaraj / September 20th, 2014

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City to Host International Meet to Create Awareness on New Medical Technique

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Chennai  : If detection and diagnosis continue to be challenges in the treatment of cancer, gastroenterologists can zero in on even a two-mm malignant growth now, thanks to endoscopic ultrasonography (EUS) technology. In a concerted effort to spread awareness about … Continue reading

EDB starts first ever medical tourism push

As service exports edged towards $3B, Sri Lanka’s apex export body EDB has stepped up its effort to open a new forex source on 11 September. And the 2015-‘20 National Masterplan Initiative on Medical Tourism has taken off, spearheaded by the EDB.

ujatha Weerakoone (DG-EDB-seated left) addresses the kick-off session of 2015-‘20 National Masterplan Initiative on Medical Tourism, on 11 September at EDB, Colombo.

ujatha Weerakoone (DG-EDB-seated left) addresses the kick-off session of 2015-‘20 National Masterplan Initiative on Medical Tourism, on 11 September at EDB, Colombo.

“Professional service exports present a tremendous opportunity and can speed up government’s ‘$20B exports by 2020’ goal. Medical Tourism is one of the most promising sub-sectors in this. We are ready to work with any and all stakeholders to get this off the ground” said a keen Sujatha Weerakoone (DG-EDB) on 11 September in Colombo.

EDB DG Weerakoone was addressing the kick-off session of EDB’s 2015-20 National Masterplan Initiative on Medical Tourism held at EDB on 11 September. The pioneering session saw top reps from Hemas Hospitals, Asiri Group of Hospitals, Lanka Hospitals, Durdans Hospital, Nawaloka Hospitals PLC, the Health Ministry as well as M.K.S.K Maldeniya (ICT Sector Director-EDB) joining the session. The private sector reps also represent Sri Lanka’s Private Hospital Association (PHA). PHA hosts the majority of Sri Lanka’s private hospitals, nursing homes and private healthcare providers as its members. 55% of country’s outpatients and 15% of the country’s in-house patients, are treated by members of PHA -the rest being treated by state sector hospitals & healthcare facilities.

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• • Lanka’s top Pvt hospitals join new drive
• • ‘Huge forex potential’–EDB’s Sujatha
• • ‘Great initiative’-Private Healthcare
• • 2013 Service exports at $2.9B, up by 7.5%

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Global Medical Tourism industry annual turnover is not definitive but Patients Beyond Borders, the oft-referenced consumer information source about international medical and health travel estimates that by 2014, the worldwide medical tourism market to be $47B (median value, $55 B at highest), growing 20% annually with 11 Mn cross-border patients worldwide, and $4250 median spending per visit! These visit costs “include all medically-related costs, cross-border and local transport, inpatient stay and accommodations.”

Speaking on the promise of medical tourism, Rishad Bathiudeen (Minister of Industry and Commerce of Sri Lanka) at February 2014’s launch event of Intrad 2014 & Arogya 2014 at Hilton Colombo, said: “With only a per capita healthcare expenditure of $ 175, at first, Sri Lanka does not appear to have an advanced healthcare infrastructure similar to the developed countries. But due to the support of well-trained, high quality healthcare professionals, availability of treatment centres as well as pharmaceuticals, we are witnessing the emergence of a new sector, that is medical tourism, contributing to our service exports. Studies show that around 15% of patients in Sri Lanka are foreign patients, such as from Maldives. The EDB under my Ministry believes that medical tourism is a promising service sector to drive our foreign exchange earnings.”

“Professional service exports present a tremendous opportunity and can speed up government’s $20 B exports by 2020 goal. Medical Tourism is one of the most promising sub-sectors in this” said EDB DG Weerakoone at 11 September session, and added: “Realising the importance of this, EDB, which strongly believes in Private Public Partnership approach, has decided to make the first ever national initiative to rally the healthcare providers as well as stakeholders and formulate a common voice for 2015-20 National Master plan Initiative on Medical Tourism. I am pleased to see all the leading private hospitals are represented in today’s session. In fact we are ready to work with any and all stakeholders to get this off the ground. We need to map out such factors as availability of hospital facilities, accreditations, specialisations, ‘centre of excellence’ areas, post-surgery and wellness packages, packages medical tourism as well as tie ups with global medical travel facilitators. The EDB can shape the future roadmap of this sector based on the collective voice healthcare operators.”

The private healthcare reps at the session pledged prompt support, even declaring this to be a ‘much needed initiative’. Dr Lalith Peiris (CEO-Lanka Hospitals), addressing the session said: “We are very happy that the EDB is taking a lead role in this much needed initiative specially at a time when many medical tourism destinations such as Thailand, Singapore, Malaysia etc are competing and out-pricing themselves. The PHA is a good starting point and together with EDB, a master plan for country’s medical tourism could be developed. This initiative can also help bring high net worth tourists instead of budget tourists and the ‘wellness medical tourism’ is a huge growth area. Through EDB we can make the stakeholders to understand how important medical tourism is.”

Responding to the comments of them, EDB DG Weerakoone stressed: “A Medical Tourism Committee and formal link with PHA could be priority steps in this effort. EDB is ready to allocate prominent space in its web portal’s “service exports” section for this initiative.”

According to the Central Bank of Sri Lanka, apart from tourism and foreign worker remittances, Sri Lanka’s total service export revenues surged by 7.5% to $2.9 Bn in 2013-60% derived from ‘transport’ (non-domestic), 24% from ICT/BPO services, 12% from both financial & insurance services and 3% from such sectors as ‘construction’ and ‘other businesses’.

At the 11 September session, EDB DG Weerakoone and the participants also mulled various other options as to how to position Sri Lanka’s medical tourism in the $47B global industry.

– Asian Tribune –

source: http://www.asiantribune.com / Asian Tribune / Home / Colombo – September 18th, 2014