Developing Medical Tourism in the OIC Member Countries
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Developing Medical Tourism in the OIC Member Countries COMCEC COORDINATION OFFICE September 2020 Standing Committee for Economic and Commercial Cooperation of the Organization of Islamic Cooperation (COMCEC) Developing Medical Tourism in the OIC Member Countries COMCEC COORDINATION OFFICE September 2020 This report has been commissioned by the COMCEC Coordination Office to PwC. Views and opinions expressed in the report are solely those of the authors and do not represent the official views of the COMCEC Coordination Office (CCO) or the Member Countries of the Organization of Islamic Cooperation (OIC). The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the COMCEC/CCO concerning the legal status of any country, territory, city or area, or of its authorities, or concerning the delimitation of its political regime or frontiers or boundaries. Designations such as “developed,” “industrialized” and “developing” are intended for statistical convenience and do not necessarily express a judgement about the state reached by a particular country or area in the development process. The mention of firm names or commercial products does not imply endorsement by COMCEC and/or CCO. The final version of the report is available at the COMCEC website.* Excerpts from the report can be made as long as references are provided. All intellectual and industrial property rights for the report belong to the CCO. This report is for individual use and it shall not be used for commercial purposes. Except for purposes of individual use, this report shall not be reproduced in any form or by any means, electronic or mechanical, including printing, photocopying, CD recording, or by any physical or electronic reproduction system, or translated and provided to the access of any subscriber through electronic means for commercial purposes without the permission of the CCO. For further information please contact: COMCEC Coordination Office Necatibey Caddesi No:110/A 06100 Yücetepe Ankara/TURKEY Phone: 90 312 294 57 10 Fax: 90 312 294 57 77 Web: www.comcec.org *E-book: http://ebook.comcec.org ISBN: Table of Contents Table of Contents .................................................................................................................................. 4 List of Tables ........................................................................................................................................... 6 List of Figures ......................................................................................................................................... 7 List of Abbreviations ......................................................................................................................... 11 Executive Summary ........................................................................................................................... 12 Introduction ......................................................................................................................................... 19 1 Medical Tourism Outlook ....................................................................................................... 20 1.1 Conceptualization of Medical Tourism ...................................................................................21 1.1.1 Definitions and Concepts Related to Health Tourism .............................................21 1.1.2 Categories of Health Tourism ...........................................................................................22 1.1.3 Definitions of Medical Tourism in the Literature .....................................................24 1.1.4 Main Drivers of Medical Tourism ....................................................................................25 1.1.5 Benefits and Risks of Medical Tourism .........................................................................30 1.2 Medical Tourism Industry ............................................................................................................36 1.2.1 Global & OIC Outlook and Market Size ..........................................................................36 1.2.2 Medical Tourism Outlook: Supply Side .........................................................................43 1.2.3 Medical Tourism Outlook: Demand Side ......................................................................54 2 Comparative Analysis for Medical Tourism .................................................................... 58 2.1 Infrastructure and Service Provision Model ........................................................................59 2.2 Financing Mechanism ....................................................................................................................60 2.3 Marketing Strategies ......................................................................................................................61 2.4 Management and Organization Structure (Stakeholders) ..............................................63 2.5 Legislative Structure ......................................................................................................................65 3 Benchmark Case Studies ......................................................................................................... 66 3.1 Methodology ......................................................................................................................................67 3.2 Analysis of the Findings ................................................................................................................70 3.2.1 OIC Countries (Azerbaijan, Jordan, Malaysia, Turkey) ...........................................70 3.2.2 Non-OIC Countries (Germany, India, The US) ......................................................... 128 4 Policy Recommendations ..................................................................................................... 173 4.1 Classification of OIC Member Countries .............................................................................. 174 4 4.2 Infrastructure Related Recommendations ......................................................................... 178 4.3 Marketing Related Recommendations ................................................................................. 180 4.4 Legislation Related Recommendations ............................................................................... 183 Conclusion .......................................................................................................................................... 184 Bibliography ...................................................................................................................................... 186 5 List of Tables Table 1. Subcategories of Health Tourism Table 2. Trends in Medical Tourism Table 3. Regional Classification Table 4. Trends and Growth Factors by Treatment Types Table 5. Matrix of Case Countries for Health Provision Models and Financing Schemes Table 6. Common Marketing Strategies Table 7. Matrix of Case Countries for Marketing Strategies Table 8. Main Stakeholders in Medical Tourism Industry Table 9. Matrix for Main Stakeholders in Case Countries Table 10. Matrix for Legislative Structure Table 11. Case Country Selection Methodology Table 12. Medical Tourism Stakeholders in Azerbaijan Table 13. Medical Tourism Industry Marketing Strategy of Azerbaijan Table 14. Medical Tourism Stakeholders in Jordan Table 15. Medical Tourism Industry Marketing Strategy of Jordan Table 16. Comparative Price List of Selected Treatments by Countries: including Jordan (in USD) Table 17. Medical Tourism Stakeholders in Malaysia Table 18. Medical Tourism Industry Marketing Strategy of Malaysia Table 19. Comparative Price List of Selected Treatment by Countries: including Turkey (in USD) Table 20. Medical Tourism Stakeholders in Turkey Table 21. Medical Tourism Industry Marketing Strategy of Turkey Table 22. Number of Healthcare Professionals by Years, All Sectors in Germany Table 23. Medical Tourism Stakeholders in Germany Table 24. Medical Tourism Industry Marketing Strategy of Germany Table 25. Medical Tourism Stakeholders in India Table 26. Medical Tourism Industry Marketing Strategy of India Table 27. Medical Tourism Stakeholders in the United States 6 Table 28. Medical Tourism Industry Marketing Strategy of the US Table 29. Indicators Related to Medical Tourism Supply and Demand Index List of Figures Figure 1. Push Factors (%) Figure 2. Pull Factors for Healthcare Providers, % Figure 3. Pull Factors for Destination, % Figure 4. Spillover Effects by Industries Figure 5. General Outlook for Medical Tourism Destinations in the World Figure 6. Medical Tourism Regional Market Size (2018-2023, USD billion) Figure 7. Medical Tourism Regional Market Size by Number of Patients (2018-2023, in millions) Figure 8. Medical Tourism Regional Market Size by Treatment Type (2019, USD billion) Figure 9. Medical Tourism Regional Market Size by Treatment Type (2019, number of patients in thousands) Figure 10. Market Growth Trends by Treatment Type (CAGR of 2019-2023) Figure 11. Foreign Patient Growth Trends by Treatment Type (CAGR of 2019-2023) Figure 12. Current health expenditure per capita* (2016, USD) Figure 13. Current health expenditure* (2016, % of GDP) Figure 14. Regional Healthcare Infrastructure Comparison* (per 1,000 people) Figure 15. Specialist surgical workforce* (2015, per 100,000 population Figure 16. Comparison of OIC Countries