Medical Tourism in the Philippines - Philippine Institute for ...

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The removal of key bottlenecks that consumers in industrial countries were formerly concernedabout literally opened the gates to large-scale migration of medical tourists in the late 1990s andthroughout the 2000s. The rapid economic growth in emerging economies has improved sanitation andenvironmental hygiene as well as safety and security in these countries, issues that were foremost in theminds of potential medical tourists in years past.Major Destinations of Medical Tourists – According to Wikipedia (2013), 50 countries are nowinvolved in medical tourism, but the president of the U.S. Medical Tourism Association cites a smallernumber of 35 (Stephano, 2011).Grail Research (2009) quotes a Malaysian hospital manager that traced the origins of modernmedical tourism in Latin American countries which “have been in it for more than 15 years…” However,in 1997-2000 the current of medical tourists changed dramatically when they began streaming intoIndia, Thailand, and later to the other Southeast Asian countries (notably Singapore, Malaysia, and in thelate 2000s, the Philippines). One analyst (Peacock, 2013) observed that medical tourism hit big-time inThailand in 1997 as a result of the Asian financial crisis when Bumrungrad International Hospital ran outof domestic patients and re-directed its marketing efforts abroad and struck gold. Today, Asia garnersthe lion’s share in the global market for medical tourists, as illustrated in Table 4. Asian countries attractmedical tourists from all continents except Latin America.Table 4. Medical Tourists by Source and Destination, Mid/Late 2000sFromToAsia Europe Latin America Middle East North AmericaAfrica 95% 4% 1% - -Asia 93% 1% - - 6%Europe 39% 10% 5% 13% 33%Latin America 1% - 12% - 87%Middle East 32% 8% - 2% 58%North America 45% - 26% 2% 27%Oceania 99% - 1% - -Source: The McKinsey Quarterly, Health Care (2008), Mapping the Market for Medical Travel 16 , as cited in Grail Research (2009)Where do medical tourists go? There are so many figures floating around in the Internet aboutthe numbers of medical tourists going to specific destinations. However, Table 5 appears to be the mostcomprehensive listing of medical tourist destinations (Youngman, 2010). It places the Philippines 11 th inthe world and 5 th in East and South Asia, with Taiwan and South Korea on the heels of overtaking thePhilippines. In the last column, the other estimates gathered from various sources are also shown.16 The author was unable to obtain the original article from which this table appeared. However, reviews of theMcKinsey study by other analysts indicate the use of a restrictive definition of “medical tourists.” The Deloitteglobal study appears to use a more liberal definition, but unfortunately no similar table as the one above isavailable from that study.12
Table 5. Top 20 Medical Tourist Destinations, 2010CountryRankWorldwideRank inEast/SouthAsiaNumberOther Estimates fromVarious SourcesThailand 1 1 1.2 million 1.25 million in 2005; 1.2million in 2006Singapore 2 2 600,000 410,000 in 2006U.S.A 3 - 400,000India 4 3 370,000 450,000 in 2007Malaysia 5 4 350,000 300,000 in 2006Hungary 6 - 330,000Poland 7 - 300,000Slovenia 8 - 300,000Jordan 9 - 210,000U.K. 10 - 100,000Philippines 11 5 80,000 60,000 in 2007Germany 12 - 70,000South Korea 13 6 60,000Taiwan 14 7 60,000Belgium 15 - 50,000Brazil 16 - 40,000Turkey 17 - 40,000Mexico 18 - 35,000Israel 19 - 30,000Colombia 20 - 27,000Sources: Columns 1 and 4 are from Youngman (2010), as cited by HealthCORE (2011). The last column is from a variety ofsources, but not from Youngman (2010).The above ranking is based solely on medical tourist arrivals. Forbes, a business magazine, hadmade its own top-ten list for medical tourism and came up with the following: 1. Australia – foraffordable cardiology, neurology, and orthopedic surgeries; 2. China – for advanced stem cell treatment;3. South Africa – for dental procedures and proximity to the U.S.; 4. India – for price competitivenessespecially of orthopedic and cardiovascular surgeries; 5. Israel – for some of the best doctors in theworld; 6. Japan – for extremely advanced cancer treatment; 7. South Korea – for orthopedics andadvanced cancer treatment; 8. Mexico – for dental procedures and hip replacement; 9. Singapore – forthe services of the Parkway Hospitals network; and 10. Thailand – for the services of BrumungradHospital (www.forbes.com).Another ranking, done by www.whereismydoctor.com in 2011, puts the Philippines 7 th in thetop ten. The ranking is as follows:• #1 Mexico, for bariatric surgery, plastic surgery, hair transplant surgery, dental care, andinfertility treatments;• #2 India, for heart surgery, orthopedic surgery, infertility treatments, and surrogacy;• #3 Costa Rica, for dental care, plastic surgery, and infertility treatments;13
Page 3: AbstractMedical Tourism in the Phil
Page 6 and 7: Table of ContentsAbbreviations and
Page 8 and 9: List of TablesTable 1. WTO’s Mode
Page 11 and 12: c. Epidemiologically, the disease b
Page 13 and 14: Revenue and Cost Trends of Selected
Page 15 and 16: BenchmarksStatus10 Adoption of “h
Page 17 and 18: S.W.O.T. Analysis of the Philippine
Page 19 and 20: Chapter I. Background“Once your t
Page 21 and 22: Chapter II. The Global Market for M
Page 23 and 24: A major industry weakness is the ab
Page 25 and 26: B. Demand, Revenues, and Market Opp
Page 27 and 28: dermatology, 6.8 weeks; and cardiol
Page 29: trends globally since 1990 15 : (1)
Page 34 and 35: Chapter III. Philippine Medical Tou
Page 36 and 37: f. HealthCORE’s (2011) estimate o
Page 38 and 39: seek better health care, 15 percent
Page 40 and 41: Cardinal Santos San Juan City P 197
Page 42 and 43: sources, bone marrow and peripheral
Page 44 and 45: found between siblings, but even th
Page 46 and 47: Zen Institute (medicalspa)Bonifacio
Page 48 and 49: control the dangers of poorly regul
Page 50 and 51: American Eye CenterAsian Eye Instit
Page 52 and 53: Medical andDental PracticesRate (ov
Page 54 and 55: The benchmarking exercise did not b
Page 56 and 57: d. Providence Hospital Inc., in Wes
Page 58 and 59: Patients/Consumers”) with 41 year
Page 60 and 61: Benchmark #14: Advancement in techn
Page 62 and 63: society for Quality in Healthcare a
Page 64 and 65: H. Travel and Accommodation Benchma
Page 66 and 67: Figure 3. Price Variation Among Sel
Page 68 and 69: Chapter VI. S.W.O.T. Analysis“Dev
Page 70 and 71: insider noted, “You cannot play i
Page 72 and 73: Continued high-cost care in advance
Page 74 and 75: “medical complication” (Medical
Page 76 and 77: Chapter VII. Conclusions and Next S
Page 78 and 79: ReferencesABS-CBN News (2013). Medi
Page 80 and 81:
De la Cruz, Stef (2012). Is Stem Ce
Page 82 and 83:
Marsek, P.W. and F. Sharpe (2009).
Page 84 and 85:
Trade Daegu (2013). Daegu Global Me
Page 86 and 87:
what have failed, and the means to
Page 88:
Annex 3: Comments on the Draft Sena
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