Asia Middle East Dialogue Work Group on Economic Issues: Health

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Asia Middle East DialogueWork Group on
Economic Issues Health Tourism

• Asia Middle East Cooperation on Medical
  Services
• Dr Jason Yap
• Director (Healthcare Services)
• Singapore Tourism Board
• 4 July 2006

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Traditional Healthcare

• Patients dont go far
• Clinic next door, hospital in city
• Big hospital in big city
• Medical professionals manage healthcare
• Referrals
• Self-regulated
• Status quo
• Go West for the best
• Clinical services
• Clinical research
• Medical technology
• Closed systems
• Second class mentality

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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
• Internationalisation of healthcare services

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Internationalisation of Healthcare Services

• Local international patients (expatriates)
• Inbound international patients
• Healthcare manpower development (training) and
  supply
• Healthcare consultancy and investment
• Healthcare facilities development and management
• National and community healthcare policy

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Internal Factors for Internationalisation

• Natural extension of medical community
• Revenue from medical tourism
• Revenue from overseas ventures
• Healthcare economies
• Healthcare services to own population
• Critical mass
• Subspecialisation
• Affordability of technology

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Healthcare Is A Little Different

• Patients
• Not customers but patients
• Caveat emptor does not apply
• Higher duty of care
• Professionals
• Traditions
• Standards
• Protectionism
• Political
• Emotional issue for patients
• Pressure on government
• Also for professionals

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Opportunities for Cooperation

• International patient services
• Development and management of clinical facilities
• Healthcare research
• Healthcare and medical training and manpower
• National and community health policy

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Opportunities for Cooperation International
Patient Services

• Medical travel (medical tourism)
• Asia 2002 2004
• India 100k 150k
• Malaysia 117k 174k
• Singapore 210k 320k
• Thailand 379k 520k
• (estimates in italics)
• Middle East
• Egypt, Jordan, Saudi Arabia, Tunisia, UAE

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Opportunities for Cooperation International
Patient Services

• Considerations
• Patients interests come first
• Need for industry to mature
• Quality and knowledge in Asia and Middle East
• Centres of excellence in Asia and Middle East
• Critical mass needed for excellence
• Need opportunities to
• Network and build business relationships
• Share best practices
• Accreditate processes and facilities
• Regulate errant practices
• International Medical Travel Conference
• Singapore, December 2006

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Joint Commission International Accredited
Hospitals

• China
• Beijing United Family Hospital and Clinics
• Clifford Hospital, Guangzhou
• Hong Kong Adventist Hospital, Hong Kong
• Tsuen Wan Adventist Hospital, Hong Kong
• Singapore
• Alexandra Hospital
• Changi General Hospital
• Institute of Mental Health/Woodbridge Hospital
• Johns Hopkins Singapore International Medical
  Centre
• KK Women's and Children's Hospital
• National Heart Centre of Singapore
• National University Hospital
• Singapore General Hospital
• Tan Tock Seng Hospital
• India
• Apollo Hospital, Chennai
• Indraprastha Apollo Hospital
• Wockhardt Hospital, Mumbai

• Egypt
• Dar Al Fouad Hospital, Giza
• Jordan
• King Hussein Cancer Center, Amman
• Kingdom of Saudi Arabia
• King Faisal Specialist Hospital and Research
  Centre, Jeddah
• King Faisal Specialist Hospital and Research
  Centre, Riyadh
• King Khaled Eye Specialist Hospital, Riyadh
• Saad Specialist Hospital, Al-Khobar
• Saudi Aramco Medical Services Organization,
  Dhahran
• United Arab Emirates
• American Hospital Dubai
• Turkey
• Acibadem Healthcare Group
• CardioCheck Görüntüleme Merkezi
• Florence Nightingale Hospital
• Istanbul Memorial Hospital
• Medline Alarm Saðlýk Hizmetleri A.Þ.
• Metropolitan Florence Nightingale Hospital

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Take Away Messages

• Healthcare is changing too
• Closed systems are opening up
• Patients, expertise and establishments are
  crossing international borders
• Gaps in standards are closing
• We should cooperate, not just compete
• To improve clinical services everywhere
• To open up healthcare economies
• To put patients first
• AMED Sub-Working Group
• Specifically for medical travel
• International Medical Travel Conference
• Singapore, December 2006

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Thank You