INDIA

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INDIA Healthcare Destination to the World A
presentation by Dr. Naresh Trehan, Executive
Director Escorts Heart Institute And Research
Centre Ltd New Delhi

September 21st, 2005
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WITH THE INTEGRATION OF WORLD ECONOMIES!
High quality treatment at a fraction of the
cost, in comparison to western countries, makes
India an ideal healthcare destination for highly
specialized medical care.
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Over 25 years ago, we had set a bold aspiration
for health in India
India was a signatory to the Alma-Ata declaration
1978, to attain the global objective of Health
for All by year 2000
Escorts Heart Institute Research Centre Ltd,
New Delhi, INDIA
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But we are far from achieving that vision

• Beds

• Physicians

• Nurses

• Per 000 population, 2001

• Per 000 population, 2001

• Per 000 population, 2001

0.5
1.2

• India

0.9
1.5

• Other low income countries (e.g., sub-Saharan
  Africa)

1.5
1.6
1.0

• Middle income countries (e.g., China, Brazil
  Thailand, South Africa, Korea)

4.3
1.8
1.9

• High income countries (e.g., US, Western Europe,
  Japan)

7.4
1.8
7.5

• World average

Escorts Heart Institute Research Centre Ltd,
New Delhi, INDIA
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Inspite of improvement, India is still well
behind other countries
65
78
63
37
Life expectancy
India 1951
India today
Developing country average
Developed Country average
146
Infant mortality
70
56

• India 1951

India today
Developing country average
Developed Country average
339
274
Morbidity
256
119

• Developing
• country
• average

India 1990
India today
Developed country average
Escorts Heart Institute Research Centre Ltd,
New Delhi, INDIA
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This spend matches that of other developing
countries as a percentage of GDP but is low on a
per capita basis
Healthcare spend as of GDP
Healthcare spend per capita
Per cent, 2001
US, PPP, 2001
Korea
Korea
6.7
720
Brazil
Brazil
453
6.5
Thailand
Thailand
5.7
349
143
5.2
India
China
2.7
94
China
India
Most recent data available has been used
(1997-2001)
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• Inspite of this scenario, there are Centres of
  Excellence spread all across India and to name a
  few
• Apollo Hospitals
• Escorts Heart Institute Research Centre
• Wockhardt Hospitals
• Fortis Healthcare
• Tata Memorial Cancer Hospital
• Leelawati Hospital
• Manipal Hospital

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INDIAN HEALTHCARE CAPABILITY

• Over 60,000 cardiac surgeries done per year with
  out comes at par with international standards
• Multi organ transplants like Renal, Liver, Heart,
  Bone Marrow Transplants, are successfully
  performed at one tenth the cost.
• Patients from over 55 countries treated at Indian
  Hospitals.

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HIGH QUALITY HEALTHCARE AT A SIGNIFICANT COST
ADVANTAGE

• Centres of excellence providing specialty high
  quality treatments.
• Some areas are
• Cardiology Cardiac Surgery
• Joint Replacement
• Minimally Invasive Surgery Therapeutic
  Endoscopy
• Oncology
• Pathology

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INDIAN HOSPITALS CAN OFFER MEDICAL SERVICES AT A
FRACTION OF THE US / EUROPEAN COST
PROCEDURE
COST (US)
US
UK
THAILAND
INDIA
7,500 ------- ------- 8,000 3,500
6,000 26,000 69,000 6,000 2,000
23,000 1,50,000 2,00,000 12,000 10,000
40,000 2,50,000 3,00,000 20,000 20,000
Heart Surgery Bone Marrow Transplant Liver
Transplant Knee Replacement Cosmetic Surgery
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India has the opportunity to provide the best of
the Western Eastern healthcare systems
Indias Gift to the World

• Ayurveda recognized as an official healthcare
  system in Hungary.
• Doctors in the west are increasingly prescribing
  Indian Systems of Medicine
• More than 70 of the American population prefer a
  natural approach to health
• Americans are said to spend around 25bn on
  non-traditional medical therapies and products

Ayurveda Yoga Siddha
Source Los Angeles Times Economic times
dated 25th July 2003
Escorts Heart Institute Research Centre Ltd,
New Delhi, INDIA
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Afghanistan
Nepal
Pakistan
1.5 billion
Bangladesh
Sri Lanka
India has strong health infrastructure catering
to 1.5 billion people
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PATIENTS FLOW IN INDIA FROM ACROSS THE WORLD
USA, Australia, New Zealand
UK Canada
Middle East
South East Asia
East Africa
CIS
SAARC Neighbouring Countries
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Medical Tourism
Medical Tourism

• A recent CII-McKinsey study on healthcare says
  Medical Tourism alone can contribute Rs.
  5,000-10,000 crores additional revenue for
  tertiary hospitals by 2012, and will account for
  3-5 per cent of the total healthcare delivery
  market.
• What India needs to do is to strengthen basic
  infrastructure like Airports, Power, Roads etc.
  to support these initiatives.

Escorts Heart Institute Research Centre Ltd,
New Delhi, INDIA
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INVESTMENT REQUIRED TO BRIDGE THE GAP IN NEXT 10
YEARS
ESTIMATES
US in billions
22-30
0.5-1
0.5-0.7
0.5-0.7
7-9
Medical equipment could account for 20- 30 of
investment in Beds (Rs.20,000 to 40,000 crore)
13-20
Investment in secondary beds
Investment for other health professionals (e.g.,
pharmacists, technicians, administrators)
Investment in tertiary beds
Investment in medical colleges
Investment in nursing schools
Total investment required
Excludes investment in bed capacity to avoid
double count with investment in
secondary/tertiary beds
(Source CII-McKinsey Company Report 2002)
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Healthcare Infrastructure..In Summation

• India needs at least 750,000 extra beds to meet
  the demand for inpatient treatment by 2012-
  opportunity in tertiary healthcare facilities.
• India needs at least 1 million more qualified
  nurses and 500,000 more doctors by 2012 as
  compared to existing number.- opportunity in
  medical education.
• To raise this infrastructure, total additional
  investment to the tune of US 25-30 billion is
  needed by 2012.
• Government and international agencies will only
  be able to gear up US 7 billion and the rest of
  investment has to come from private sector.

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MediCity Solution
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Concept
To create a Johns Hopkins / Mayo Clinic of the
East. Start research on incorporating the
strengths of traditional medicine with allopathic
medicine to create newer therapies

• To provide integrated tertiary care services
  spanning over 20 super specialities of the
  highest quality at competitive price.
• To create core research facilities for in-house
  and shared research in medicine.
• To create a new form of medicine by researching
  on traditional medicines and integrating with
  modern medicine
• To exploit potential of global health by
  leveraging technology and hospitality services (
  Medical tourism).
• To leverage the strengths for value added
  services in research and development ,BPO etc.
• To provide world class education and training.

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Facilities Planned

• 1500 beds (350 critical care beds).
• 40 operation theatres.
• 18/20 super specialties (6/7 major like
  cardiology,neuro-sciences, advance pediatrics,
  high end orthopedics, oncology, traumatology and
  12/13 minor specialties.
• R D facilities (clinical and bio-technology)
  including vet labs.
• Hotels serviced apartments and office
  facilities.
• Education facilities.
• Residential complexes.
• Extensive greenery plus parking ground coverage
  30.
• Intelligent city.

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Thank you