Medical Tourism - World Health Organization

[Pages:23]Medical Tourism

Edward Kelley, WHO Patient Safety Programme 02 October 2013

Agenda

1. What is medical tourism? 2. Main drivers of medical tourism 3. Prices & cost savings 4. OECD countries 5. Medical travelers by point of origin 6. US & Europe 7. WHO 8. Patient Story

p. 3 p. 5 p. 6 p. 7 p. 9 p. 10 p. 15 p. 17

2

What is medical tourism?

? Medical tourists elect to travel across international borders to receive some form of medical treatment

Treatments may span the full range of medical services Most common: dental care, cosmetic surgery, elective surgery, and

fertility treatment ? OECD, 2010

? No agreed definition of medical tourism exist; as a result methods applied by countries vary substantially

Some countries count foreign patients' visits to hospitals whereas others count the entry of individual patients into the country

Other countries record nationality but not place of residence of patients, can be problematic when migrants return to home country for treatment

? WHO, 2011

3

What is medical tourism?

All international inpatients receiving care

100%

Subtract expatriates seeking care in their country of current residence

-25% to -30%

Subtract emergency cases

-30% to -35%

35-45%

Medical travelers

McKinsey Quarterly, 2008

4

What is medical tourism?

5

Main drivers of medical tourism

Relative size of medical-traveler segments (100% = 49,980 patients)

4% 9%

Most advanced technology

Better-quality care for medically necessary procedures

15%

40%

Quicker access for medically necessary procedures

Lower-cost care for medically neccessaty procedures

32%

Lower-cost care for discretionary procedures

McKinsey Quarterly, 2008

6

Prices & cost savings

Procedure

Heart Bypass Heart Valve Replacement Angioplasty Hip Replacement Knee Replacement

US 113.000 150.000 47.000 47.000 48.000

Medical tourism prices (in US$)

Countries

India

Thailand Singapore

10.000

13.000

20.000

9.500

11.000

13.000

11.000

10.000

13.000

9.000

12.000

11.000

8.500

10.000

13.000

Malaysia 9.000 9.000 11.000 10.000 8.000

Mexico 3.250 18.000 15.000 173.000 14.650

Poland 7.140 9.520 7.300 6.120 6.375

Procedure

Coronary artery bypass graft Total hip replacement Total knee replacement

Cost UK 8.631 8.811 6.377

Cost India 3.413

Cost savings (in ?)

Cost of flight

Total cost India

Cost saved per operation

Waiting list

500

3.913

4.718

97

Total saved 457.646

3.413

500

3.913

4.898

28.800

141.062.400

5.145

500

5.645

732

53.911

39.462.852

OECD, 2011

7

OECD countries ? Imports

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