The Associated Chambers of Commerce and Industry of India
Transcript of The Associated Chambers of Commerce and Industry of India
INDIA …
Healthcare Destination to the World…
A presentation by Dr. Naresh Trehan, Executive Director
Escorts Heart Institute And Research Centre LtdNew Delhi
September 21st, 2005
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.
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
But we are far from achieving that vision
Beds Physicians Nurses
Per ’000 population, 2001*
Per ’000 population, 2001*
Per ’000 population, 2001*
1.5
1.5
4.3
7.4
India
Other low income countries (e.g., sub-Saharan Africa)
Middle income countries (e.g., China, Brazil Thailand, South Africa, Korea)
High income countries (e.g., US, Western Europe, Japan)
1.8
1.8
1.0
1.2***
0.5**
World average 3.3 1.5 3.3
0.9
1.6
1.9
7.5
Escorts Heart Institute & Research Centre Ltd, New Delhi, INDIA
Inspite of improvement, India is still well behind other countries
Developingcountry average
Morbidity
India1990
India today
Developedcountry average
339274
256119
Life expectancy India1951
India today
Developingcountry average
DevelopedCountryaverage
DALYs Per ‘000 population
Life expectancy at birth Years
Infant mortality Deaths per ‘000 births
65 7837
63
Infant mortality
India 1951
India today
Developingcountry average
DevelopedCountryaverage
56
146
70
Escorts Heart Institute & Research Centre Ltd, New Delhi, INDIA
This spend matches that of other developing countries as a percentage of GDP but is low on a per capita basis
6.7
6.5
5.7
5.2
2.7
Korea
Brazil
Thailand
India
China
Per cent, 2001*
720
453
349
143
94
Korea
Brazil
Thailand
China
India
US$, PPP, 2001*
Healthcare spend as % of GDP Healthcare spend per capita
* Most recent data available has been used (1997-2001)
Inspite of this scenario, there are Centres of Excellence spread all across India and to name a
few:
Apollo Hospitals
Escorts Heart Institute & Research Centre
Wockhardt Hospitals
Fortis Healthcare
Tata Memorial Cancer Hospital
Leelawati Hospital
Manipal Hospital
INDIAN HEALTHCARE CAPABILITY
Over 60,000 cardiac surgeries done per year with out comes at par with international standards
Multi organ transplants like Renal, Liver, Heart, Bone Marrow Transplants, are successfully performed at one tenth the cost.
Patients from over 55 countries treated at Indian Hospitals.
HIGH QUALITY HEALTHCARE AT A SIGNIFICANT COST ADVANTAGE
Centres of excellence providing specialty high quality treatments.
Some areas are:
Cardiology & Cardiac Surgery
Joint Replacement
Minimally Invasive Surgery & Therapeutic Endoscopy
Oncology
Pathology
INDIAN HOSPITALS CAN OFFER MEDICAL SERVICES AT A FRACTION OF THE US / EUROPEAN COST
PROCEDURE COST (US$)
7,500
-------
-------
8,000
3,500
6,000
26,000
69,000
6,000
2,000
US UK
23,000
1,50,000
2,00,000
12,000
10,000
Heart Surgery
Bone Marrow Transplant
Liver Transplant
Knee Replacement
Cosmetic Surgery
40,000
2,50,000
3,00,000
20,000
20,000
INDIATHAILAND
India has the opportunity to provide the best of the Western & Eastern healthcare systems
Escorts Heart Institute & Research Centre Ltd, New Delhi, INDIA
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 *
India’s Gift to the World
Ayurveda
Yoga
Siddha
Source : Los Angeles Times * Economic times dated 25th July 2003
1.5 billion
Bangladesh
Nepal
Afghanistan
Pakistan
Sri Lanka
India has strong health infrastructure catering to 1.5 billion people
SAARC & Neighbouring
Countries
East Africa
CIS
Middle East
South East Asia
USA, Australia, New Zealand
UK Canada
PATIENTS FLOW IN INDIA FROM ACROSS THE WORLD
Escorts Heart Institute & Research Centre Ltd, New Delhi, INDIA
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.
Medical Tourism
ESTIMATES
* Excludes investment in bed capacity to avoid double count with investment in secondary/tertiary beds
US $ in billions
13-20
7-9 0.5-0.7 0.5-0.7 22-30
Medical equipment could account for 20-30% of investment in Beds (Rs.20,000 to40,000 crore)
Investmentin secondary beds
Investmentin tertiary beds
Investmentin medical colleges*
Investmentin nursing schools
Investmentfor other health professionals(e.g., pharmacists,technicians,administrators)
Total investmentrequired
(Source: CII-McKinsey & Company Report 2002)
INVESTMENT REQUIRED TO BRIDGE THE GAP IN NEXT 10 YEARS
0.5-1
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.
Healthcare Infrastructure…..In Summation
MediCity Solution
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 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
1. To provide integrated tertiary care services spanning over 20 super specialities of the highest quality at competitive price.
2. To create core research facilities for in-house and shared research in medicine.
3. To create a new form of medicine by researching on traditional medicines and integrating with modern medicine
4. To exploit potential of global health by leveraging technology and hospitality services ( Medical tourism).
5. To leverage the strengths for value added services in research and development ,BPO etc.
6. To provide world class education and training.
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.
Thank you…