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GLOBAL HEALTHCARE
SECTOR

• World’s 2nd largest business sector

• Global healthcare revenue US$ 2.8Trillion

COUNTRY Life expectancy Infant GDP % Revenue spent
Mortality

Australia 81.4 4.2 8.7 67.7

Canada 80.7 5.0 10.1 69.8

France 81.0 4.0 11.0 79.0

Germany 79.8 3.8 10.4 76.9

Japan 82.6 2.6 8.1 81.3

USA 78.1 6.7 16.0 45.4

India 69.89 6 34
80% OF THE MEDICAL FACILITIES ARE
CONCENTRATED IN THE URBAN AREA

WHILE 73% OF THE POPULATION

RESIDES IN THE RURAL AREA

Expenditure on healthcare will increase to

Rs 1400 from Rs 600 by 2015
 34 Billon USD

Primary Tertiary
OBJECTIVE

OWNERSHIP

SIZE
SIZE
I’S OF HOSPITAL INDUSTRY
 Vaccination
Preventive care Check-ups
Heath camps

For Minor ailments

Out-patient care
For Major ailments

Medical
In-patient care
Surgical
• On the basis of income

• On the basis of location

• On the basis of Age

 Regional
Segmentation

Semi
Rural Urban
Urban
90 % patients need primary and secondary care
 Product
Price
Physical
Distribution

7 P’s Place

People

Promotion
Process
• Auxiliary services
• Supportive services
FREE – No income SUBSIDISED [for low
group income group]

DISCRIMINATORY
PRICING

COST + LOSSES COST + SURPLUS

SUFFERED FROM FROM SERVICES
SUBSIDISED PRICE RENDERED TO NO
[for middle income group] INCOME GROUP
[ for high income group]
• Cost based pricing
• Competition based pricing
• Demand / value based pricing
• Relationship pricing
P
R
E
F
E
R
• Ambient Factors:
Smell in the hospital
Effect of Colors used on walls
• Design Factors:
Design of the rooms
Plush interiors, ICU location, etc.
• Social Factors:
Type of Patients that come to
the Hospital
 Un organized Sector Organized Sector

Curative Preventive

Out of Pocket Payments Insurance /Employer

Pay

Driven by Demand Driven by Supply

No Quality Check on Consumers demand

Service Quality

Lack of system And Increased emphasis on

Accountability System And Accountability

Large Infectious Large Diabetic

disease Load Population
India Diabetes Prevalence:
31,705,000(2000) 79,441,000(2030)
• Number of beds available :9 lakhs [nearly]
• Doctors who qualify annually : 29000
• Total number of hospitals : 16000
[nearly]
• Total number of medical colleges : 337
• Infant mortality rate : 62 per 1000[rural]
39 per 1000[urban]
 Health Insurance penetration

 Increasing disease burden – lifestyle diseases

 Awareness of healthcare and preventive care

 Employer provided healthcare

 Community based health plans

 Shift in lifestyle related diseases

 Growing Middle Class and Patient Preferences

Increasing health awareness, Increasing spends on health

Medical Tourism
 Introduction
• Medical Tourism- Patients going to a different
country for either urgent or elective medical
procedures
• WHO defines it as
-Medical care
- Sickness & well-being
- Rehabilitation & recuperation
• Is fast becoming a worldwide, billion dollar
industry
• Low cost travel has taken the industry beyond the
wealthy and desperate
 International Trends
• Internet mindset, global markets
• Easier (and harder) international travel
• Greater awareness of standards, options
• Greater ability to compare prices
• Greater awareness of population differences
• Packaging of medical care with tourism or
“medical tourism”
• Improving healthcare IT
• Internationalization of healthcare services
 Global Medical Tourism
• Over 50 countries have identified medical
tourism as a national industry
• Thailand- 600,000 foreign patients
• Singapore- > 410,000 foreign patients
• Brazil has 4,500 licensed cosmetic surgeons,
the highest per capita in the world
• India- > 450,000 foreign patients
• Malaysia- >350,000 foreign patients
Top 5 Best Hospitals in the world
• 1.Bumrungrad Medical Center
– Bangkok, Thailand
• 2.Parkway Health Care –
Singapore
• 3.Matilda Hospital – Hong
Kong, China
• 4.Wales Hospital  – Sydney,
Australia
• 5.Centro Médico ABC – Mexico
City, Mexico
Bumrungrad Hospital, Bangkok
• Bumrungrad has more than 700 internationally
trained
and board-certified doctors and a complete range
of healthcare services and facilities.
• Bumrungrad International Hospital, which offers
a full spectrum of services from executive
health tests to cardiac packages, cancer
therapy, eye surgery, liposuction and other
cosmetic options.
Source: HotelMarketing.com
 Indian Medical Tourism
 5.16 million foreign tourist arrivals in 2009
 By 2012
- 25% share in medical tourism in Asia
- 2.4% in Global medical tourism
 Medical Tourism Framework
HOSPITALS
SPECIALTYCLINICS
- Organ transplant
- Eye Care
- Major /minor
- Dental Care
surgery
Cosmetic/reconstr
- Executive
uctive
Checkups
surgery
Medical
Tourism
Industry

WELLNESSCLINICS
-Spa Clinics SUPPORT
Traditional/alternati SERVICES
ve -Travel agency
medicine - Hotel/Restaurant
- Transport
 Tourists’ Interest in India

• 5000 year old civilization

• Renowned for Historical, Cultural and Religious
diversity
• Diverse geographical landmarks; vast coastline
• Traditional arts and crafts
• Vibrant democracy: Freedom for citizens;
empowered women population
 Medical Travel
media Portal management

Healthcare services

Accommodation
Electronic
Patient records

VIP Services Tele medicine

 Major Players
• Escorts
• Apollo Hospital
• Indraprastha Apollo Hospital
• Hinduja Hospital
• Jaslok Hospital
• Fortis Hospital
 Major medical tourism
companies
• Travel India Company,
• Panacea Meditours,
• Advent Medical Services group,
• Indicure,
• Erco Travels,
• MedInIndia,
• Mediescapes India
 Indicure Travels Co.
• Different kind of Medical Tourism Packages:
- The Joint Commission International (JCI)
accredited hospitals
- Medical (M) visa/ Medical escort visa
- Airlines
- 5 star hotels/Spa & Resorts/ beach villas
- Sightseeing
- Shopping
- Nightlife and the Arts
 Wellness Clinics
• Spa Clinics
• Traditional/alternative
medicine
• Yoga
Marketing Strategies of Spa
(Logo)
Employees’ Uniform
Brochure
Gift Vouchers/Certificates
 Product Line
• Hair and Body Care
• A Scent to Remember
• Organic and vegan products
•  Facial Mask
 For Branding
• Sight
• Smell
• Sound
• Taste
• Touch
Marketing Strategy For Medical
Tourism
Treatment
protocols, World
Class equipment, or
services
Prolonged waiting
periods
Lower costs of care
 Contd…
• World Class Service
- For Patient
- Their Family
Internet & Social Networking
Word of Mouth
Patient Testimonials & Blogging
Online Advertising Companies
Challenges in Medical Tourism
 Future Solutions
Integratio
n

Transparenc
y
Classifications of Medical Devices
 Surgical Equipment Category
• Anesthesia Products
• Suction Units
• Surgical Tools
• Weighing Scales & Weights
• Autoclave Equipments
• Catheter
• Cardiology Equipments
• Child, Infant and baby care
• Endoscopy
• Laparoscopy
• Laboratory Instruments
• Medical Gas Pipe Line
• Microscopic Slides Manufacturers
•
Neonatal & Pediatric Intensive care
• Operating Tables Shadow Lights
• Ophthalmic Instruments
• Orthopedic Implants
• Pathological Instruments
• Sterilizing Instruments
• Surgical Disposable
• Surgical Medical Rubber Goods
• Surgical needle,Scissor & Knife
• Bio Medical Instruments
• Dental & Ophthalmic Equipments
• Dental Implants
• Diagnostic Kits and products
• Electro Medical Instruments
• General Surgical Products
• Gynecological Products
• Hospital Furniture
• Hospital Garments
• Intestinal Surgical Instruments
• Laser Beam Instruments
• Medical Disposable Products
• Neuro Surgical Instruments
• Operating Tables & Shadowless Lights
• Operation Theater Equipments
• Physiotherapy Equipments
• Rehabilitation Products and aids
• Scientific Equipments
• Stethoscopes
 TOP MEDICAL DEVICE MANUFACTURERS

SL. NO. NAME OF THE COMPANY AMOUNT IN USD

1. Johnson and Johnson $17.7B
2. GE Healthcare $12.1B
3. Medtronic $10.1B
4. Baxter International $9.8B
5. Cardinal Health $9.8B
6. Tyco Healthcare $9.5B
7. Siemens Medical Solutions $9.2B
8. Philips Medical Systems $7.5B
9. Boston Scientific $6.3B
10. Stryker $4.9B
 Indian players in Medical Equipments

• Philip Medical Systems

• L&T
• Usha dragger
• Datex-ohmeda
• Karl storz
 Medical equipment Market
• Rs 1500 crore worth medical equipments are sold annually.
•
• 50 % of is purchased from Indian manufacturers & 70% is imported

• Most high-end medical equipment are installed in cities with tertiary care
hospitals.

• Most of the equipment costing above Rs 10 lakh are installed in the

metropolitan and large cities.

• Medium-level equipment is there at the district level for secondary care in

both the public and the private sector

• At the sub district level public sector equipment has poor installation and
poor functioning as compared to the private sector.
• ONE OF THE FASTEST GROWING MARKETS IN
THE WORLD

• ANNUAL GROWTH OF 17.5%

• CATERS TO 95% OF COUNTRY’S NEEDS

 People Who Render their Helpful
Service
• Dr. Anandavelu ----Pondicherry City Hospital
• Dr. Annamalai ----- Apollo Hospital (Chennai)
• Dr. Siva Ranjani ---- JIPMER Hospital
• Dr. Sumitra ----- Maternity Hospital
(Pondicherry)
• SivaKumar ----- Marketing Team Leader in (A.
G. Padmavathi Hospital