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© 2012 Medical Travel Today

Medical Travel Today is a publication of CPR Strategic Marketing Communications, a public relations firm based near New York City that specializes in healthcare and life sciences, with an international clientele. CPR, its Partners, and clients are at the nexus of where medical travel is today, and where it will be tomorrow.

Publisher, Laura Carabello

Table of Contents

From the Editor

From the Editor: This week in Medical Travel Today, Amanda Haar

News in Review

Nigeria: Ado Bayero Returns From Medical Trip Abroad

Nigeria Loses N100 Billion to Medical Tourism Annually - Indian Expert

Saving lives while sharing the scenery

Renub Research Issues "India Medical Tourist Arrivals, Medical Tourism Market & Forecast to 2015"


SPOTLIGHT: László Puczkó, Founder, The Tourism Observatory for Health, Wellness and Spa, PART ONE


Jim Tate, Medical Travel Commission, PART ONE

Industry News

17-Year-Old Egg Donor Dead, HC Questions Fertility Center's Role

Eggs on Demand in Lawless Market

Medical tourism drains the health system in war-ravaged Libya

Number of Health Apps Rising, but Download Rates Remain Low

Josef Woodman Blogs on the HuffPost: How Will Healthcare Reform Affect Americans Travelling for Care?

READERS WRITE: Kate Kyoungmi Kang

Upcoming Events

2012 World Medical Tourism Conference

The 5th International Health Tourism Congress
Ankara, Turkey, November 18-21, 2012

The IHC FORUM: Your Guide on the Journey to HealthCare Consumerism

5th Annual Middle East Healthcare Expansion Summit

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Global Health Voyager

Volume 6, Issue 15

by Amanda Haar, Editor


Transparency is a word that gets thrown around a lot in medical care. While the term is frequently applied to costs, its scope in the world of medical travel is expanding.

In this week's SPOTLIGHT we speak with two individuals who are seeking to bring greater transparency to the industry for distinctly different purposes.

In the first instance, Dr. László Puczkó of the The Tourism Observatory for Health, Wellness and Spa is looking to increase access to data, research and academic work in order to provide researchers and other interested individuals with a more comprehensive understanding of the industry.

In the second, Jim Tate of the Medical Travel Commission is aiming to give consumers a clearer understanding of what to expect of a medical travel experience through a new type of patient-experience certification.

As always, we welcome your comments, story ideas and press releases.


Amanda Haar, Editor


Medical Travel Today
recently partnered with Well-Being Travel to host the first "Well-Being and Medical Travel Conference 2012." The event - which took place June 20-21 in Scottsdale, Ariz., and drew in 400+ attendees - educated travel sellers on how and why they should sell medical and wellness travel.
As a follow-up to the conference, we're conducting a survey in an effort to gather benchmarking information...and help everyone increase their success in this specialty niche (including medical practitioners and facilities, wellness therapists and retreats, travel suppliers and travel sellers...and ultimately the patient travelers).
Take our brief 10-question survey today and you could win a $250 American Express Gift Card!!!

Just click on this link: https://www.research.net/s/5L687QT

Log onto Facebook and join the Medical Travel Today Group. Look for recent news, trends, and post discussions in the board. If you would like to see something in Medical Travel Today let us know in the discussion board. If you have a question, post it there!

You can also follow Medical Travel Today on Twitter. For more information log onto www.medicaltraveltoday.com


László Puczkó, Founder, The Tourism Observatory for Health, Wellness and Spa, PART ONE

László Puczkó




Editor's Note: Readers may recognize László Puczkó's name as the author of numerous papers and books on medical travel (Wellness Tourism and Medical Tourism: Where do Spas Fit?, The Future of Spa Tourism, High-End Medical Travel), co-author of Health and Wellness Tourism, in-demand speaker for many global medicine conferences and events, and respected researcher. To that list of accomplishments you can now add founder of The Tourism Observatory for Health, Wellness and Spa.

The aptly named observatory is intended to serve as a platform for professionals to gain an unbiased understanding of how the industry is evolving and operating around the world.

Medical Travel Today recently spoke with Puczkó to learn more about The Tourism Observatory, as well his thoughts on the future direction of the industry.

Medical Travel Today (MTT): First, congratulations on your new endeavor. Can you share with us how the organization will serve the industry?

László Puczkó (LP): Thank you. I'm very excited about it. I think that The Tourism Observatory for Health, Wellness and Spa will fill a real need in the industry.

Specifically, we're looking to provide a link between all the academic research that's being done in the field and industry professionals. We aim to provide unbiased access to data, research and understanding to the academic work, as well as provide those academic researchers with a better understanding and access to the industry.

MTT: How do you anticipate the data and resources being used?

LP: I see us working with different organizations and companies on strategic initiatives. Initiatives might be focused on assessing and understanding various destinations and product development. Looking at it from another perspective, a researcher could quickly gain access to understanding the different facilities and types of facilities currently in existence.

The other significant thing I see The Observatory doing is providing some clarity for the industry. As I see it, we're currently trapped by the various labels we apply to different types of care and facilities. For example, some people use the term 'clinic' to mean one thing where it means something altogether different elsewhere in the world. In some parts of the world a clinic requires certain certification. In the EU a clinic is often private or university-affiliated. They're simply not the same thing everywhere. But if you're trying to expand a network or do research, it can take a lot of effort - wasted effort - to figure that out. The same problem applies to spa and wellness industries...same terms, very different meanings, facilities and types of services.

Our hope is to provide some global interpretation and understanding for all the various terms and give a complete and truer picture of what's taking place where.

MTT: I can see where this would be of use to consumers as well.

LP: Yes, that's chapter two of our effort...making the information available to consumers.

Not only will we define for them what is a clinic or a medical city, but we'll also present all the available treatment options. Often facilitators and facilities will only present the treatments they have an interest in or that they offer. But there are many evidence-based approaches that work...alternatives to surgery. There are numerous lifestyle practices, including traditions, rituals, teas and ancient practices that are proven to improve health. We intend to share that information right alongside the latest technological approaches to health.

But I'm keenly interested in the lifestyle approach to health. I think these approaches will be real eye-openers for some folks. If you can resolve your issue without surgery, that holds great appeal.

Part Two of this conversation will be featured in Issue 16.

About Dr. László Puczkó

Dr. László Puczkó (Ph.D., MSc, MA, CMC) is a managing director and head of tourism at Xellum management consulting company. He graduated in Business Administration at the Budapest University of Economic Sciences in 1993. He holds a master's degree in Art & Design Management from the Hungarian Academy of Arts and Crafts, a Ph.D. from Budapest University of Economics and Public Administration, and is a Certified Management Consultant.

He is president of the Association of Tourism Consultants (Hungary), professor at the Budapest College of Communication, Business and Arts, and guest professor at Parnu Kolledz (University of Tartu, Estonia), HAAGA-HELIA University of Applied Sciences (Helsinki-Porvoo, Finland), and International Business School (Budapest, Hungary). He was a Member of the Travel and Tourism Research Association Europe Chapter Board and was the originating co-founder of Wellness Tourism Worldwide. He is now the Chair of The Tourism Observatory for Health, Wellness and Spa.

His main areas of expertise include tourism research, strategy preparation, planning and management in the following areas: health, wellness, medical and spa tourism, heritage and cultural tourism, national/regional/local planning, product and project development, experience mapping and enhancement, sustainability and quality of life.

He has been involved in over 100 advisory projects and in recent years László has been advising several development projects aiming at thermal bath, spa, wellness and medical tourism developments, at the regional, local and site level. His work included conceptualization, financial and market feasibility, marketing planning and experience planning.

László is an international speaker who has given lectures, seminars and training in more than 15 countries worldwide.

During his career, in the area of tourism research, László organized and performed a series of primary research projects focusing on perception, marketing, attraction management and impacts of tourism both in Central European Countries and globally.

Former positions: researcher, lecturer at the Tourism Research Centre of Budapest University of Economics and Public Administration (1993-2001), and manager at KPMG Advisory Travel, Leisure and Tourism Group (2001-2004). He is a co-author of books on health and wellness tourism, the impacts of tourism, visitor management and tourism management in historic cities.

Facebook http://www.facebook.com/TheTourismObservatoryForHealthWellnessAndSpa
Twitter https://twitter.com/#!/healwellnessspa   
Linked In http://www.linkedin.com/groups?gid=3939457&trk=hb_side_g   


Jim Tate, President and Founder, Medical Travel Commission

SPOTLIGHT: Jim Tate, Medical Travel Commission, PART ONE

Editor's Note: If you follow any of the popular medical travel news feeds you've no doubt seen a good bit of buzz about recent certifications issued by the Medical Travel Commission.

According to the company's website, the International Patient Program Certification is designed to "recognize organizations that provide extraordinary, best-in-class service to patients traveling across international borders for care" and to elevate the "level of service quality by safeguarding patient experiences."

Medical Travel Today spoke with the president and founder of the Commission, Jim Tate, to learn more about the organization and the certification process.

Medical Travel Today (MTT): What led you to create the Medical Travel Commission and a new certification program for medical travel?

Jim Tate (JT): Good question. As your readers probably know, there are a number of programs similar to The Joint Commission out there that examine certain aspects of the care delivery process at hospitals and offer a quality accreditation. They exist in the US, the UK, Canada, Australia, and so on, and they provide a certain level of review including patient safety, quality of care, documentation of policies and processes, review of provider credentials, licensing, etc. From my view, what they provide in terms of a review is similar to what the Department of Health does at a restaurant. They come in and make sure the kitchen is clean, the employees are washing their hands, food is properly stored, and served either hot enough or cold enough. It's very much about safety, the system and the delivery, but not at all about the experience.

Obviously there are hundreds and hundreds of facilities that have received the various accreditations, and I do believe they are essential. On the front end, however, if a patient goes from Dubai to Chicago or vice versa, the expectations and realities of the actual patient experience are all over the map. Some hospitals have fantastic international patient departments...some that go well beyond the usual handling of issues related to visas, billing, EMRs, informing patients of local customs, and so on...the kind of things that aren't addressed in the standard accreditations. 

And truly you can receive great healthcare but still have a bad experience based on everything from language issues that prevent you from fully understanding your doctor to simply feeling uncertain or even unsafe about where you are.

I simply felt there was a need to come up with a certification process that indicates to consumers that a given hospital meets certain standards related to the patient experience. Something more than just a smile upon arrival and certain food options.

MTT: So how do you determine exactly what elements of the experience are the ones that matter?

JT: Quite honestly we began with a very personal list that included all the questions we would ask if a family member was traveling abroad for care. This evolved into specific criteria, and became further refined as we realized we didn't just want an acceptable level of care for our loved ones, but an extraordinary level of care.  Frankly, the majority of hospitals probably wouldn't be able to meet all of our criteria.

That said, the first of our qualifying criteria is that a facility have an international quality accreditation from an organization like JCI. Understand we're not trying to duplicate what those organizations do so well. They do it and it is absolutely essential to the patient experience because they ensure the quality of medical care and safety is there. Without a current accreditation you can't get our certification.

MTT: At the risk of sounding disrespectful, what gives your organization the authority to deem a facility worthy?

JT: That's a fair question and certainly one we get a lot. Happily I have a few very good answers to it.

The first is Bambi Rose. Bambi is our director of certification and she has years of experience in the certification process and protocols. She worked for a number of years as the Testing and Certification Program director for the Certification Commission for Healthcare Information Technology. She's also worked at several healthcare facilities as a chief privacy officer and a director of health information and admitting. She is extremely well-versed in creating criteria, determining how to validate it, and creating an actual certification process that's valid and meaningful.

In addition, our chief medical officer, Dr. Stewart Hamilton, has practiced medicine all over the world and brings to our program the provider experience of dealing with international patients. He's seen many successful programs, as well as ones that don't work for a variety of reasons. Dr. Hamilton did his thesis in medical school on the differences between patient vs. physician expectations and bridging the communication gap to improve patient care. He has presented at medical conferences internationally sharing his deep understanding of the topic. That physician eye to the experience is quite critical.

Their input and understanding helped shape our criteria into the final form.

Part Two of this conversation will be featured in Issue 16.

About Jim Tate
Jim Tate has worked as a consultant with over 175 healthcare-related companies across the world, ranging from Sri Lanka and Israel to Pakistan and Peru, providing health information technology services in both ambulatory and in-patient environments. He has directly led healthcare implementation projects throughout the world. Having witnessed disparities in services provided to international patients, he felt compelled to create "best-in-class" service standards that would benefit hospitals, travel facilitators and prospective patients.

Industry News

17-Year-Old Egg Donor Dead, HC Questions Fertility Center's Role

indianexpress.com - Not much is known about Sushma Pandey's death, except that she was 17 years old, died suddenly and had visited a fertility clinic just two days earlier - at least the third time she was doing so in 18 months.

Now, almost two years after she died, Sushma's case may bring under the spotlight the hushed world in which India's assisted reproductive clinics operate.

To continue reading click here.

Industry News

Eggs on Demand in Lawless Market

indianexpress.com - Advancing technology and growing medical tourism have helped in vitro fertilization thrive in India, but with little regulation. Egg donors are chosen and paid according to their profile, with touts and agencies arranging them for hospitals and recipients. And the donor is often at risk, a fact highlighted by the death of Sushma Pandey, 17, in Mumbai.

With the Assisted Reproductive Technology (Regulation) Bill of 2010 hanging fire, the only attempt at regulation is a set of guidelines, revised several times, by the Indian Council of Medical Research. Clauses in the guidelines appear to contradict each other on the donor's ideal age, but Sushma would have been under the lower limit in any case.

To continue reading click here.

Industry News

Medical tourism drains the health system in war-ravaged Libya

Hospitals are neglected as patients are subsidized for treatment abroad.

smh.com.au - A multimillion-dollar medical tourism industry catering to Libyans has emerged in neighboring countries, stripping the country's struggling health system of vital investment and blocking efforts to rebuild a sector rife with corruption.

Nowhere is the extent of Libya's crumbling infrastructure more apparent than in its health system. Hospitals are poorly staffed, many have endured long periods of unfinished construction, and medical equipment is outdated or sits unused because staff do not have the expertise to operate it.

As a result, Libyans' faith in their health system is dangerously low, undermined by the government spending millions to send people overseas for even the simplest treatment.

Industry News

Number of Health Apps Rising, but Download Rates Remain Low

ihealthbeat.org -Although the number of mobile health apps has grown dramatically over the past few years, there has not been a corresponding rise in the number of people downloading them, the Washington Post reports.

Rise in Mobile Health Apps
Brian Dolan, editor and co-founder of MobiHealthNews, said data show the number of consumer health apps in the Apple Store has increased from 2,993 in February 2010 to 13,619 in April 2012.

He noted, "But a persistent trend is that the majority of these apps are focused on tracking fitness or diet ... and far fewer are focused on what most people would consider true health problems, like chronic conditions or chronic condition management."

To continue reading click here.

Industry News

Josef Woodman Blogs on the HuffPost: How Will Healthcare Reform Affect Americans Travelling for Care?

Editor's Note: Just how healthcare reform will affect Americans seeking treatment abroad is the subject of a recent blog by Josef Woodman, founder and CEO of Healthy Travel Media and author of the Patients Beyond Borders series. As Woodman states, in regards to the nearly one million patients in the US who will seek care abroad, "The answer is not a sound bite - as with so many complexities of ACA, medical travelers can be assured of a 'yes,' 'no,' and 'maybe.'

To read the blog, click here.

Industry News

READERS WRITE: Kate Kyoungmi Kang

Editor's Note : Kate Kyoungmi Kang, MHA, works as a medical tourism consultant at Ipock International Healthcare Consulting, LLC.  Her interests lie in growing the Korean Medical Tourism market and creating global infrastructure to facilitate the growing industry.

As a recent master of Healthcare Administration (MHA) graduate, I am excited to be a part of the medical tourism industry, however, it was never a point of instruction in my program. The focus of our program was solely on the US healthcare system and preparing to work in a healthcare facility setting for newly minted MHA graduates. Over the past two years that it took to complete my MHA there were plenty of changes that came about in the US healthcare industry, but I believe that every future healthcare leader could benefit from a greater understanding of the medical tourism industry.

Our professors constantly talked about transparency, quality, cost and service as cornerstones to improving healthcare in America, but they never mentioned the competition-driven medical tourism model of delivering care. There is something to be said for the global medical tourism industry actually having to rely on these principles to attract patients to travel abroad for healthcare. I grew up in Korea, and saw the Korean health system focus on these principles and, in turn, attract patients from surrounding countries. Working as a pharmacist in Korea, I saw a change in the healthcare market with a focus on the globalization of healthcare. I knew that I wanted to be a part of that change, and that is why I attended the Arnold School of Public Health at the University of South Carolina. I found it challenging to attain a master's degree in America, but there was little attention to how the business of healthcare is changing globally. We were taught the fundaments of the US healthcare system, covering all of the required course work that is standard for any MHA program. There was an international health elective course, but the focus was on public health and communicable diseases. However, we never studied how other countries operate their health systems, and how that could be beneficial to our role as managers. I personally believe that there needs to be a greater focus on medical tourism as a competitive force in global healthcare. There are many innovative changes that are being driven by medical tourism that could directly apply to better serving American patients.  We were given the opportunity to meet David Boucher of Companion Global Healthcare who spoke to our class about the basics of medical tourism. This was welcomed and well received because the majority of the students had never heard of the term medical tourism, and the idea of patients traveling overseas for healthcare was foreign to them. I feel that we need to better understand how other healthcare systems deliver care, so that we can improve the transparency in care and the unsustainable costs in America.

The most beneficial opportunity I had while in graduate school was attending several conferences focused on medical tourism. I attended the Center for Medical Tourism Research (CMTR) annual conference hosted by Dr. David Vequist who is director/founder and a professor at The University of the Incarnate Word. Even though the medical tourism industry is a very nascent market, this conference brought together a wide variety of industry leaders and academics to deliver very interesting scholarly research in all sectors of the industry. I believe that focusing on the academic side of medical tourism and creating more visibility to the student population will be incredibly beneficial. It was a great experience as a student to get to meet and discuss the opportunities and future of the medical tourism industry; this was a wonderful experience to inspire me to think globally about how we can improve healthcare across the world. It was a great networking experience to not only meet industry thought leaders, but also a small number of students who were interested in medical tourism as a career, including my current business partner, Brian Ipock.

The globalization of healthcare is very real in its impact on the US healthcare system. I personally believe there needs to be more attention to this in several levels of medical education even beyond the MHA. One of the most beneficial things that could happen to open this industry up to new ambitious students and graduates is to target academic institutions and highlight not only the conferences with student friendly rates, but research opportunities and internships. Medical tourism and the globalization of healthcare are very real industry segments that need more attention from the MHA community and academia in general.

Upcoming Events

2012 World Medical Tourism Conference

The Asian Medical Tourism Association (AMTA) proudly presents the World Medical Health Tourism Conference: Destination Down Under in 2012, which will be held in Brisbane, Australia, August 10-12, 2012. The conference is planning on bringing together many of world medical tourism service providers. As Australia holds a unique position in the world of medical tourism, it is both a patient provider and has a growing industry as a service provider for medical tourism in general. Brisbane has been chosen as the location for the event simply because of its great infrastructure, and Brisbane is one of the world's famous tourist destinations within Australia. In addition to this, Brisbane's proximity to the Gold Coast and other medical tourism hospitals makes it the ideal choice for the 2012 event.

The Australia and Asia-Pacific region has more than 90 percent of the globe's medical tourism infrastructure, including hospitals, spas and alternative health facilities. It is expected that the event will draw delegates from throughout the world. Planning is well underway for the conference to host more than 1,500 delegates and with a great array of speakers, exhibitors, workshops and discussion panels, the event is a must if you are a player or have an interest in the fast-growing medical tourism industry.

You and your organization will be able to connect with international hospitals, insurance companies and other medical tourism operators. Furthermore, this conference will provide an excellent opportunity to see first-hand the high quality of healthcare provided by Australia's hospitals and doctors. Australia, particularly Brisbane and the Gold Coast, is an emerging market, attracting players within the medical tourism industry and drawing patients from America, UK and Europe. The conference serves to help the industry within Australia to prosper. You'll gain invaluable experience in context just by attending and networking opportunities that this unique conference can offer.

To learn more or to register click here.

The 5th International Health Tourism Congress
Ankara, Turkey, November 18-21, 2012

Organized by the Turkey Health Tourism board, The Fifth Annual International Health Tourism Congress will be held November 18-21, 2012, in Ankara.

Participants are expected to include representatives of health organizations from Turkey and the world, government representatives, and bureaucrats from Turkey Health, Culture and Tourism Ministry.

The Congress is expected to serve as an effective background for showcasing Turkey's potential to create new business and investment opportunities with partners from neighboring nations, the Middle East, Central Asia, Balkans, Europe, North Africa and the United States.

To learn more or to register click here.

The IHC FORUM: Your Guide on the Journey to HealthCare Consumerism

Health and benefits spending is arguably the number one challenge employers face. Today's shifting landscape brings skyrocketing costs, strict coverage requirements and even stricter compliance standards. Healthcare consumerism is the clear answer, but the road to implementing these strategies can seem daunting. Get all the tools you need to skillfully navigate your healthcare consumerism journey at The Institute for HealthCare Consumerism's FORUM West 2012 conference on September 6-7 at Las Vegas' breath-taking Red Rock Resort Casino Spa.

As the only event 100 percent dedicated to innovative health and benefit management, the FORUM's 24 cutting-edge workshopsfive general sessions and world-class speakers bring real, actionable solutions to HR professionals, C-level executives, brokers and regional health plan providers.

Register today for your roadmap to success.

In just a day and a half, you'll get expert insights from the industry's foremost thought leaders and policy makers, and real-life examples from peers on how to:

  • Cut costs now
  • Prepare for the impact of the Affordable Care Act and the 2012 presidential election
  • Build the best possible plan for your company
  • Avoid common pitfalls of transitioning to healthcare consumerism
  • Turn disengaged employees into involved, well-educated healthcare consumers

5th Annual Middle East Healthcare Expansion Summit

October 10 & 11, 2012, Abu Dhabi

The Healthcare - IT industry has always been growing, and with the advent of mobile health, telecom leaders have also joined the league. In the Middle East, the healthcare segment is a primary focus area for the IT as well as telecom industry with opportunities in areas such as diagnostics applications, interactive mobile applications, self-care, hospital information systems and integration of IT platforms with mobile health apps.

The 5th Annual Middle East Healthcare Expansion Summit aims at addressing the challenges and opportunities of the healthcare information and communications technology (ICT) industry through a forum of healthcare providers, ICT industry leaders and government representatives who will brainstorm on how to meet challenges and adopt new and upcoming technologies to the healthcare sector in the Middle East.

To register or learn more click here.

Medical Travel Today: Opinions and Perspectives on an Industry in the Making

Medical Travel Today - the authoritative newsletter for the worldwide medical travel industry - is pleased to announce publication of a new book, "Medical Travel Today: Opinions and Perspectives on an Industry in the Making.

Featuring 40 of the newsletter's most compelling interviews from the first five years of publication, the volume chronicles the explosive growth of international medical tourism as witnessed and experienced by some of the key stakeholders and players. A must-read for anyone interested or involved in the industry.

News in Review

Nigeria: Ado Bayero Returns From Medical Trip Abroad
allafrica.com - The Emir of Kano, Alhaji Ado Bayero, was yesterday received by thousands of residents who gathered around his palace and the Airport Road in Kano as he returned to the state from a medical trip in London.

Bayero, who arrived at Malam Aminu Kano International Airport around 7 p.m., was led straight to his palace and did not address the crowds.

Nigeria Loses N100 Billion to Medical Tourism Annually - Indian Expert
allafrica.com - The Chairperson, Primus International Super Specialty Hospital, Karu, Abuja, Achia Dewan, has disclosed that Nigeria loses over N100 billion annually to medical tourism.
She gave this figure in Abuja when she led a team from the hospital on a courtesy visit to the headquarters of the LEADERSHIP Newspapers Group, Abuja. Dewan expressed regret that many Nigerians seeking medical remedies would rather travel out of the country to avail themselves of foreign expertise and care.

Saving lives while sharing the scenery
Tourism was way up in Miami in 2012 thanks in large part to a 7.2 percent increase in international visitors, and you can see so many tourists on the big red buses that pass through town. Many of the tourists you see are here enjoying themselves, but some of them are here for medical care.
...Navigating the US healthcare system is no simple feat, but that's where Grovite Maria Freed comes in. Her company, ORNOA, Oncology Referral Network of America, does just that. Coming up on their two-year anniversary, they have helped over 500 patients!

Renub Research Issues "India Medical Tourist Arrivals, Medical Tourism Market & Forecast to 2015"
A new report from Renub Research provides a comprehensive analysis of the India Medical tourism market covering in detail various aspects such as foreign patients' arrivals, revenue from foreign patients, competitive landscape, share of the medical patients' arrivals in India comparison to Asia & market share revenue from medical patients in India comparison to Asia.

Editor's Note: The information in Medical Travel Today is believed to be accurate, but in some instances, may represent opinion or judgment. The newsletter's providers do not guarantee the accuracy or completeness of any of the information and shall not be liable for any loss or damage caused - directly or indirectly - by or from the information. All information should be considered a supplement to - and not a substitute for - the care provided by a licensed healthcare provider or other appropriate expert. The appearance of advertising in this newsletter should in no way be interpreted as a product or service endorsement by the newsletter's providers.