Asia Medical Tourism Industry Outlook to 2015 - The Destination for Foreign Patients

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EXECUTIVE SUMMARY

The report titled "Asia Medical Tourism Industry Outlook to 2015 – The Destination for Foreign Patients" provides a comprehensive analysis of the Asia Medical tourism industry along with further discussion on medical tourism market in various countries such as Thailand, India, Singapore, Malaysia and South Korea. The report covers in details various aspects such as market size on the basis of number of foreign patients and medical tourists, revenue from foreign patients and medical tourist receipts, market segmentation, competitive landscape and profiles of the major hospitals treated foreign patients in the country. The report also entails major drivers and growth barriers of medical tourism market of respective country.The future outlook along with projections and macro-economic factors has also been presented providing an insight on the prospects in the medical tourism industry. Asia Asia is regarded as the destination for medical tourists across the globe. Thailand is the leader among the Asian countries which received maximum number of foreign patients (~) in 2010. India is the second largest player with ~ thousand foreign patients closely followed by Singapore with ~ thousand. Philippines and Malaysia are other major countries which received ~ and ~ thousand foreign patients respectively.Asia medical tourism industry is one of the most lucrative markets across the globe which is expected to witness significant boom. The region is estimated to record an increased market share in global medical tourism market with projected foreign patients' volume growth being the highest in the world. The accessibility to world-class healthcare infrastructure and expert doctors, nurses and support staff along with low treatment cost are some of the key factors which will drive the future market growth.ThailandThe country has registered the largest foreign patients' arrivals from UAE which accounted for ~% of the total foreign patients in 2010. This is followed by Qatar and Oman which accounted for ~% and ~% of the total foreign patients respectively.Bumrungrad Hospital is the leader in Thailand in terms of the foreign patients treated with the market share of ~% in 2010. The hospital treated ~ international patients in 2010 from 190 countries and generated USD ~ million revenues from foreign patients. Piyavate Hospital is the third largest player in Thailand with the market share of ~% in 2010. The hospital treated ~ international patients and generated ~% of the revenue from foreign patients in 2010.IndiaIndia Medical Tourism industry is the second largest hub after Thailand which served ~ medical tourists and generated USD ~ million medical tourism receipts in 2010. The country is popular for its internationally certified hospitals equipped with latest technology, qualified support staff in the medical centers, cost saving treatment compared to other developed countries (60-80% less cost of treatment as compared to that of the US and the UK), less waiting time, English speaking and qualified staff, availability of private rooms, bespoke food, wellness and several enriching attractions.Indian medical tourism is a concentrated market with major ~ hospitals serving ~% of the total medical tourist arrivals in India in 2010. Apollo Hospitals, the second largest hospital network in India is the market leader in terms of serving medical tourists. The group served about ~ medical tourists in 2010 contributing the share of ~% to the total medical tourists' arrivals in India. The company operates a network of 54 hospitals and medical centres with ~ inpatients complement beds. Max Healthcare is the second largest hospital group with ~% market share serving around ~ medical tourists in 2010 through 8 hospitals and medical centres and ~ complement beds.SingaporeSingapore has 21 hospitals with JCI accreditation and remains one of the oldest destinations for medical treatment. The affluent class from the countries such as Indonesia and Malaysia visit Singapore for medical treatment.Cardiology, ophthalmology and oncology are the leading services for which Singapore has achieved specialization. The country also has a booming dental market. Singapore is generally preferred for more intricate medical procedures such as oncology treatment and transplants therefore the country generally caters to the high end medical treatment. Since these procedures are more expensive compared to other treatments, Singapore might register less number of medical patients but earns higher revenueMalaysiaMalaysia attracts the maximum number of foreign patients from Indonesia. Approximately ~% of the total foreign patients who visited Malaysia for medical treatment were from Indonesia in 2010. It is followed by Singapore which is 2nd largest contributor to the total foreign patients with ~% market share. Around ~ foreign patients treated in Malaysia were Singaporeans in 2010. The country treated around ~ foreign patients from Japan which accounted for around ~% of the total foreign patients in 2010. Other countries which include the US, the UK, Europe and other Asian countries accounted for the rest ~% of the total foreign patients treated in Malaysia.South KoreaOut of the total foreign patients visited in South Korea, Seoul with ~ received the maximum number of foreign patients followed by Gyeonggi with ~ patients and Daegu with ~. It is worthwhile to note the number of foreign patients were more in Daegu (~) as compared to Busan (~) and Incheon (~) which posses a better infrastructure than Daegu.In terms of region, Seoul with Sinchon Severance hospital registered most number of foreign patients. Other leading hospitals in Seoul were Samsung Medical Center, Cheong Shim International Medical Center, Asan Medical Center, Seoul St. Mary's Hospital and Hanyang University Medical Center. Most of the hospitals are located near the capital providing a concentration of medical facilities. In order to promote growth hospitals should be spread out to various regions for overall development of the country.

Key Topics Covered in the Report:

• Number of Foreign Patients and Revenue from Foreign Patients in Asia, Thailand, India, Singapore, Malaysia, Philippines, South Korea, Taiwan

• Number of Medical Tourists and Medical tourist receipts of various countries, 2005-2010

• Foreign Patients by Nationality of various countries, 2010

• Major Drivers and Growth Barriers of Medical Tourism in Asia and other countries

• Competitive landscape of top hospitals treating foreign patients of various countries, 2010

• Future Outlook along with future projections on number of foreign patients treated in the country along with the revenue generated, 2011-2015

• Cause and effect relationship analysis between the market prospects and various industry factors in Asia

• Historical and Projections of Industry Factors including Number of Tourist Arrivals and Receipts, Number of Hospitals, Medical Centers and Clinics along with beds, Inpatients and Outpatients Admissions, Registered Health Personnel and Healthcare Expenditure of various countries, 2005-2015

1. Medical Tourism in Asia1.1. OverviewTypes of Medical Travelers Profile1.2. Medical Tourism Value Chain in Asia1.3. Number of Foreign Patients Treated and Foreign Patients Revenue in Asia by Countries, 20101.4. JCI Accredited Hospitals and Centres in Asian Countries, 20101.5. Medical Tourism Treatment Cost Comparison, 20101.6. Comparison of Major Medical Tourism Destinations (Thailand, India, Singapore, Malaysia and South Korea), 20101.7. Major Market Drivers and Growth BarriersMarket DriversMajor Growth Barriers and Challenges1.8. Recent Trends and Developments1.9. Asia Medical Tourism Future Outlook and Projections, 20151.9.1. Cause and Effect Relationship between Industry Factors and Medical Tourism Prospects2. Medical Tourism in Thailand2.1. OverviewTypes of Medical Travelers Profile2.2. Total Foreign Patients Treated and Foreign Patients Revenue in Thailand, 2005-20102.3. Foreign Patients by Nationality, 20102.4. Competitive Landscape of Major Hospitals (Piyavate, Bumrungrad Hospital, Bangkok Dusit Medical Services), 20102.4.1. Market Share of Major Thailand Hospitals by Number of Foreign Patients Treated, 20102.5. Major Drivers and Growth BarriersMajor DriversGrowth Barriers2.6. Thailand Medical Tourism Future Outlook and Projections2.6.1. Expected Foreign Patients and Foreign Patients Revenue, 2011-20152.7. Medical Tourism Industry Factors: Historical and Projections2.7.1. Total Foreign Tourist Arrivals and Tourism Receipts in Thailand, 2005-20152.7.2. Healthcare Expenditure in Thailand, 2005-20153. Medical Tourism in India3.1. Overview3.2. Total Foreign Patients Treated and Foreign Patients Revenue in India, 2005-20103.3. Number of Medical Tourists Arrivals and Medical Tourist Receipts in India, 2005-20103.4. Medical Tourists Arrivals by Nationality, 20093.5. Market Share of Major Indian Hospitals by Number of Foreign Patients Treated, 20103.6. Company Profiles3.6.1. Apollo Hospitals Enterprise Limited (AHEL) Company OverviewCorporate TimelineBusiness StrategiesFinancial and Operational Performance3.6.2. Fortis HealthcareCompany OverviewCorporate TimelineBusiness StrategiesFinancial and Operational PerformanceMax Healthcare (MHC) Company OverviewBusiness StrategiesFinancial and Operational Performance3.7. Major Drivers and Growth BarriersMajor DriversGrowth Barriers3.8. India Medical Tourism Future Outlook and Projections3.8.1. Expected Foreign Patients and Foreign Patients Revenue, 2011-20153.8.2. Expected Medical Tourist Arrivals and Medical Tourist Receipts, 2011-20153.9. Medical Tourism Industry Factors: Historical and Projections3.9.1. Total Foreign Tourist Arrivals and Tourism Receipts in India, 2005-20153.9.2. Healthcare Expenditure in India, 2005-20154. Medical Tourism in Singapore4.1. Overview4.2. Total Foreign Patients Treated and Foreign Patients Revenue in Singapore, 2005-20104.3. Number of Medical Tourists Arrivals and Medical Tourist Receipts in Singapore, 2005-20104.4. Medical Tourists Treatment Expenditure by Nationality, 20094.5. Competitive Landscape of Major Hospitals (SingHealth, Parkway Health, Raffles Medical Group, National Healthcare Group), 20104.6. Major Drivers and Growth BarriersMajor DriversGrowth Barriers4.7. Singapore Medical Tourism Future Outlook and Projections4.7.1. Expected Foreign Patients and Foreign Patients Revenue, 2011-20154.7.2. Expected Medical Tourist Arrivals and Medical Tourist Receipts, 2011-20154.8. Medical Tourism Industry Factors: Historical and Projections4.8.1. Total Foreign Tourist Arrivals and Tourism Receipts in Singapore, 2005-20154.8.2. Number of Hospitals, Medical Centres and Hospitals Beds, 2005-20154.8.3. Inpatients and Outpatients Admissions, 2005-20154.8.4. Registered Health Personnel in Singapore, 2005-20154.8.5. Healthcare Expenditure in Singapore, 2005-20155. Medical Tourism in Malaysia5.1. Overview5.2. Total Foreign Patients Treated and Foreign Patients Revenue in Malaysia, 2005-20105.3. Foreign Patients by Nationality, 20105.4. Competitive Landscape of 35 Private Hospitals Endorsed for International Medical Tourism by Ministry of Health, 20095.5. Major Drivers and Growth BarriersMajor DriversGrowth Barriers5.6. Malaysia Medical Tourism Future Outlook and Projections5.6.1. Expected Foreign Patients and Foreign Patients Revenue, 2011-20155.7. Medical Tourism Industry Factors: Historical and Projections5.7.1. Total Foreign Tourist Arrivals and Tourism Receipts in Malaysia, 2005-20155.7.2. Total Number of Hospitals and Hospital Beds in Malaysia, 2005-20155.7.3. Number of Hospital Admissions in Malaysia, 2008-20155.7.4. Number of Hospital Doctors in Malaysia, 2005-20155.7.5. Healthcare Expenditure in Malaysia, 2005-20156. Medical Tourism in South Korea6.1. Overview6.2. Total Foreign Patients Treated and Foreign Patients Revenue in South Korea, 2005-20106.3. Foreign Patients by Nationality, 20106.4. Foreign Patients by Destination in Korea, 20106.5. Foreign Patients Selection for Type of Hospitals, 20106.6. Type of Foreign Patients by Inpatients, Outpatients and Medical Checkup Patients, 20106.7. Competitive Landscape of Major Hospitals (Yonsei Severance, Samsung Medical, CheongShim International, Asan Medical and Seoul National), 20106.8. Major Drivers and Growth BarriersMajor DriversGrowth Barriers6.9. South Korea Medical Tourism Future Outlook and Projections6.9.1. Expected Foreign Patients and Foreign Patients Revenue, 2011-20156.10. Medical Tourism Industry Factors: Historical and Projections6.10.1. Total Foreign Tourist Arrivals and Tourism Receipts in South Korea, 2005-20156.10.2. Number of Hospitals, Clinics and Medical Centres and Hospital Beds, 2005-20156.10.3. Healthcare Expenditure in South Korea, 2005-20157. Appendix7.1. Market Definition7.2. Abbreviations7.3. Research MethodologyData Collection MethodsApproachDisclaimer

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LIST OF FIGURES

Figure 1: Number of Foreign Patients Treated in Asia by Countries, in Percentage, 2010

Figure 2: Revenue from Foreign Patients in Asia by Countries, in Percentage, 2010

Figure 3: Number of JCI Accredited Hospitals and Centres in Asian Countries, 2010

Figure 4: Number of Foreign Patients Treated in Asia by Countries, in Percentage, 2015

Figure 5: Revenue from Foreign Patients in Asia by Countries, in Percentage, 2015

Figure 6: Number of Total Foreign Patients in Thousands and Foreign Patients Revenue in Thailand in USD Million, 2005-2010

Figure 7: Foreign Patients by Nationality in Percentage, 2010

Figure 8: Market Share of Major Hospitals on the Basis of Number of Foreign Patients Treated, in Percentage, 2010

Figure 9: Expected Foreign Patients in Thousands and Foreign Patients Revenue in USD Million, 2011-2015

Figure 10: Total Foreign Tourist Arrivals in Million and Tourism Receipts in USD Billion, 2005-2015

Figure 11: Healthcare Expenditure in Thailand, in USD Billion, 2005-2015

Figure 12: Number of Total Foreign Patients in Thousands and Foreign Patients Revenue in India in USD Million, 2005-2010

Figure 13: Number of Total Medical Tourists in Thousands and Medical Tourists Receipts in USD Million, 2005-2010

Figure 14: Medical Tourists by Nationality in Percentage, 2009

Figure 15: Market Share of Major Hospitals on the Basis of Number of Medical Tourists Treated, in Percentage, 2010

Figure 16: Apollo Hospitals Corporate Timeline, 1983 -2014

Figure 17: Fortis Healthcare Corporate Timeline, 2001-2010

Figure 18: Fortis Healthcare Location Wise Hospital Performance, in INR Million, FY'2010-FY'2011

Figure 19: Fortis Healthcare Revenue Mix by Specialty in Percentage, FY'2011

Figure 20: Number of Procedure Performed by Specialty in Fortis Healthcare, FY'2010 - FY'2011

Figure 21: Max Healthcare Average Operational Beds and Average Revenue per Bed Day in INR, FY'2009 – FY'2011

Figure 22: Expected Foreign Patients in Thousands and Foreign Patients Revenue in India in USD Million, 2011-2015

Figure 23: Expected Medical Tourists in Thousands and Medical Tourists Receipts in India in USD Million, 2011-2015

Figure 24: Total Foreign Tourist Arrivals in Million and Tourism Receipts in India in USD Billion, 2005-2015

Figure 25: Healthcare Expenditure in India, in USD Billion, 2005-2015

Figure 26: Number of Total Foreign Patients in Thousands and Foreign Patients Revenue in Singapore in USD Million, 2005-2010

Figure 27: Number of Total Medical Tourists in Thousands and Medical Tourists Receipts in Singapore, in USD Million, 2005-2010

Figure 28: Medical Tourists' Treatment Expenditure by Nationality in Percentage, 2009

Figure 29: Expected Foreign Patients in Thousands and Foreign Patients Revenue in Singapore in USD Million, 2011-2015

Figure 30: Expected Medical Tourists in Thousands and Medical Tourists Receipts in Singapore in USD Million, 2011-2015

Figure 31: Total Foreign Tourist Arrivals in Million and Tourism Receipts in Singapore in USD Billion, 2005-2015

Figure 32: Number of Hospitals, Medical Centres and Clinics and Hospital Beds in Singapore, 2005-2015

Figure 33: Total Patient Admissions in Singapore, 2005-2015

Figure 34: Total Registered Health Personnel in Singapore, 2005-2015

Figure 35: Healthcare Expenditure in Singapore, in USD Million, 2005-2015

Figure 36: Number of Total Foreign Patients in Thousands and Foreign Patients Revenue in Malaysia in USD Million, 2005-2010

Figure 37: Foreign Patients by Nationality in Percentage, 2010

Figure 38: Expected Foreign Patients in Thousands and Foreign Patients Revenue in Malaysia in USD Million, 2011-2015

Figure 39: Total Foreign Tourist Arrivals in Million and Tourism Receipts in Malaysia in USD Billion, 2005-2015

Figure 40: Number of Hospitals and Hospital Beds in Malaysia, 2005-2015

Figure 41: Total Patient Admissions in Malaysia, in Million, 2008-2015

Figure 42: Number of Hospital Doctors in Malaysia, 2005-2015

Figure 43: Healthcare Expenditure in Malaysia, in USD Billion, 2005-2015

Figure 44: Number of Total Foreign Patients in Thousands and Foreign Patients Revenue in South Korea in USD Million, 2005-2010

Figure 45: Foreign Patients by Nationality in Percentage, 2010

Figure 46: Foreign Patients by Destinations (Seoul, Gyeonggi-do, Daegu, Busan, and Incheon) in Korea in Percentage, 2010

Figure 47: Foreign Patients Selection for Type of Hospitals in Percentage, 2010

Figure 48: Type of Foreign Patients by Inpatients, Outpatients and Medical Checkup Patients in Percentage, 2010

Figure 49: Expected Foreign Patients in Thousands and Foreign Patients Revenue in South Korea in USD Million, 2011-2015

Figure 50: Total Foreign Tourist Arrivals in Million and Tourism Receipts in South Korea in USD Billion, 2005-2015

Figure 51: Number of Hospitals, Clinics and Medical Centres and Hospital Beds in South Korea, 2005-2015

Figure 52: Healthcare Expenditure in South Korea, in USD Billion, 2005-2015

?LIST OF TABLESTable 1: Number of Foreign Patients Treated in Asia by Countries, in Thousands, 2010Table 2: Revenue from Foreign Patients in Asia by Countries, in USD Million, 2010Table 3: Medical Treatment Cost Comparison among the US, India, Thailand, Singapore, Malaysia, Mexico and the UK, in USD, 2010Table 4: Key, Emerging and Other Medical Tourism Destinations across the World, 2010Table 5: Comparison of Major Medical Tourism Destinations (Thailand, India, Singapore, Malaysia and South Korea) on the basis of Foreign Patients, JCI Accredited Hospitals, Range of Costs (% of US cost) and Popular Treatment Options, 2010Table 6: Number of Foreign Patients Treated in Asia by Countries, in Thousands, 2015Table 7: Revenue from Foreign Patients in Asia by Countries, in USD Million, 2015Table 8: Cause and Effect Relationship Analysis between Industry Factors and Expected Medical Tourism Industry Market ProspectsTable 9: Foreign Patients by Nationality in Thousands, 2010Table 10: Competitive Landscape of Major Hospital Chain/Group in Thailand (Piyavate, Bumrungrad Hospital, Bangkok Dusit Medical Services), 2010Table 11: Key Performance Indicators of Major Indian Hospitals in Terms of Foreign Patients Treated, No. of Hospitals and Beds, 2010Table 12: Total Foreign Tourist Arrivals in Million and Tourism Receipts in USD Billion, 2005-2015Table 13: Medical Tourists by Nationality, 2009Table 14: Key Performance Indicators of Major Indian Hospitals in Terms of Medical Tourists Treated, No. of Hospitals and Beds, 2010Table 15: Hospital Expansion Plan of Apollo Hospitals Enterprise Limited (AHEL), 2011Table 16: Apollo Hospitals Financial Performance, in INR Million, FY'2009 – FY'2011Table 17: Apollo Hospitals Revenue Mix by Business Segment, in INR Million, FY'2011Table 18: Apollo Hospitals Operational Performance, FY'2011Table 19: Apollo Hospitals Geographic Presence, FY'2011Table 20: Hospital Expansion Plan of Fortis Healthcare, FY'2011Table 21: Fortis Healthcare Financial Performance, in INR Million, FY'2009 – FY'2011Table 22: Fortis Healthcare Operational Performance, FY'2009 – FY'2011Table 23: Max Healthcare Services in Various Specialties, 2011Table 24: Max Healthcare Financial Performance, in INR Million, FY'2009 – FY'2011Table 25: Max Healthcare Inpatient and Outpatient Transactions and Average Revenue per Inpatient and Outpatient in INR, FY'2009 – FY'2011Table 26: Total Foreign Tourist Arrivals in Million and Tourism Receipts in India in USD Billion, 2005-2015Table 27: Medical Tourists' Treatment Expenditure by Nationality in USD Million, 2009Table 28: Competitive Landscape of Major Hospital Chains/Group in Singapore (SingHealth, Parkway Health, Raffles Medical Group, National Healthcare Group) Table 29: Total Foreign Tourist Arrivals in Million and Tourism Receipts in Singapore in USD Billion, 2005-2015Table 30: Hospitals, Medical Centres and Clinics in Singapore, 2005-2010Table 31: Inpatient and Outpatient Admissions in Singapore, 2005-2010Table 32: Registered Health Personnel by Doctors, Dentists, Pharmacists, Nurses and Midwives in Singapore, 2005-2010Table 33: Foreign Patients by Nationality, 2010Table 34: Major 35 Private Hospitals Endorsed for International Medical Tourism by the Ministry of Health (MOH), 2009Table 35: Total Foreign Tourist Arrivals in Million and Tourism Receipts in Malaysia in USD Billion, 2005-2015Table 36: Total Hospitals and Hospital Beds by Public and Private Sector in Malaysia, 2005-2010Table 37: Foreign Patients by Destinations (Seoul, Gyeonggi-do, Daegu, Busan, and Incheon) in Korea, 2010Table 38: Foreign Patients Selection for Type of Hospitals, 2010Table 39: Market Segmentation by Inpatients, Outpatients and Medical Checkup Foreign Patients, 2010Table 40: Competitive Landscape of Major Hospital Chains/Group in Singapore (Yonsei Severance, Samsung Medical, CheongShim International, Asan Medical and Seoul National University Hospital), 2010Table 41: Total Foreign Tourist Arrivals in Million and Tourism Receipts in South Korea in USD Million, 2005-2015Table 42: Number of Hospitals, Clinics and Medical Centres and Hospital Beds in South Korea, 2005-2015Table 43: Total Hospitals, Clinics and Medical Centres by Medical, Dental, Oriental Medicine, Dispensaries, Midwifery Clinics and Specialized Hospitals in South Korea, 2005-2010

SingHealth, Parkway Health, Raffles Medical Group, National Healthcare Group, Apollo Hospitals, Max Healthcare, Fortis Healthcare, Piyavate, Bumrungrad Hospitals, BDMS, Yonsei Severance, Samsung Medical, CheongShim International, Asan Medical Center

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