AN ASSESSMENT ON TURKEY MEDICAL TOURISM AN ASSESSMENT ON TURKEY Source: http://english.busan.go.kr/06residents/08_03_01.jsp

09.11.2012 Medical Tourism Replacement of patients from their home countries to the different countries basically for the purpose of treatment. Medical tourism could include recreation and relaxation activities as well as treatment. Medical Tourism creates approximately US$60 billion to the world economy. India, Thailand, Taiwan, Turkey and some developing countries have done the great progress in medical tourism industry Company Logo Source: http://english.busan.go.kr/06residents/08_03_01.jsp

Why medical tourism? Lower cost Better access to healthcare 09.11.2012 Why medical tourism? Lower cost Better access to healthcare High quality “First World Treatment at Third World Costs” Long waiting time (Canada & UK) Lack of healthcare coverage Medical procedures not provided (U.S - Stem Cell) or restrained in home country Privacy – particularly for some cosmetic procedures Exotic locations and travel ‘mystique’ Company Logo

Medical & Dental Procedures* 09.11.2012 Medical & Dental Procedures* Cardiology Cardiothoracic CyberKnife® (cancer) Dental Detox/Rehab ENT Executive Health Physicals Gastroenterology General Surgery Gynecology Infertility Internal Medicine Neurosurgery Oncology (selective) Ophthalmology Orthopedics Pain Management Pediatrics Plastic and Reconstructive Surgery Urology Male/Female Vascular Weight Loss/Obesity Surgery Highlight some of the procedure - note detox rehab and infertility * Lazzaro, V. (2009). U.S. & International Medical Tourism University of California - Irvine

Drivers Medical Tourism 2 7 4 5 8 1 3 6 09.11.2012 Drivers Medical Tourism 2 7 4 5 8 Globalization of Healthcare Improvements in Technology and Transportation Increasing Healthcare Expenditure Qualified Human Resources Regulations Quality Network Cost Differences 1 3 6 Accredited Healthcare Organizations Company Logo

Challenges Critical issues for medical tourists Selection of physician 09.11.2012 Challenges Selection of physician Communication Issues Critical issues for medical tourists Follow-up difficulties and complication risk Legal resource and malpractice law Company Logo

Advantages and Disadvantages for MT destination 09.11.2012 Advantages and Disadvantages for MT destination Advantages Shows the leverage effect for the economy. Contribute to the related industries. Acquisition of advanced technology and powerful infrastructure. Improve public healthcare sector as well as private sectors. Increase employment Disadvantages Low physician to patients ratio for local people Domestic brain drain from public to private sector Company Logo

09.11.2012 Accreditation Joint Commission International conducts the accreditation process of public and private health organizations from different countries and provides international standards . About 550 foreign hospitals accredited from 52 countries by JCI. There are also some other accreditation organizations. Company Logo

Number of Accredited Organizations 09.11.2012 High-Quality Healthcare Services and Accreditation of Healthcare Organizations Countries Number of Accredited Organizations 1 Austria 4 27 Kazakhstan 2 Bahamas 28 Kuwait 3 Bahrain 29 Lebanon Bangladesh 30 Malaysia 8 5 Barbados 31 Mexico 9 6 Belgium 32 Nicaragua 7 Bermuda  33 Nigeria Brazil 43 34 Oman Chile 35 Pakistan 10 China 20 36 Panama 11 Colombia 37 Philippines 12 Costa Rica 38 Portugal 13 Czech Republic 39 Qatar 14 Denmark 15 40 Russian Federation Ecuador 41 Saudi Arabia 50 16 Egypt 42 Singapore 21 17 Ethiopia Slovenia 18 Germany 44 South Korea 19 Greece 45 Spain India 46 Switzerland Indonesia 47 Taiwan 22 Ireland 23 48 Thailand Israel 49 Turkey 24 Italy United Arab Emirates 57 25 Japan 51 Viet Nam 26 Jordan 52 Yemen  Total 550

Total health expenditure as a share of GDP, 2009 (or nearest year) 09.11.2012 Total health expenditure as a share of GDP, 2009 (or nearest year) Source: OECD Health Data 2011 Company Logo

09.11.2012 Health insurance coverage of OECD Countries for a core set of services, 2009 Source: OECD Health Data 2011 Company Logo

Medical Tourism Destinations 09.11.2012 Medical Tourism Destinations Source: Grail Research, 2009 Company Logo

Waiting time of four weeks or more for a specialist appointment 09.11.2012 Waiting time of four weeks or more for a specialist appointment Source: Commonwealth Fund International Health Policy Surveys Company Logo

Waiting time of four months or more for elective surgery 09.11.2012 Waiting time of four months or more for elective surgery Source: Commonwealth Fund International Health Policy Surveys Company Logo

Medical Tourism in Turkey 09.11.2012 Medical Tourism in Turkey After 1990, private sector investments have boomed in healthcare industry This transition period is supported by well-educated and well-qualified physicians and other health staff and strengthened through the accreditation of healthcare organizations. Turkey hosts 40,000 medical tourists from all over the world in a year. Company Logo

Price Statistics for Selected Countries 09.11.2012 Price Statistics for Selected Countries US TURKEY IRELAND THAILAND GERMANY TAIWAN SINGAPORE INDIA ISRAEL ENGLAND SWITZERLAND Heart Bypass (CABG) 129.750 11.375- 15.000 26.500- 27.500 11.000 17.335 18.900 30.000- 33.000 8.666 30.000 27.770 44.596 Heart Valve Replacement 58.250 16.950 N/A 10.000 27.500 12.500 11.750 25.000 47.794 Hip Replacement 45.000 10.750 19.500- 21.000 11.000- 14.000 11.644 7.500 10.725 7.000 17.150 15.840 19.899 Knee Replacement 40.000 11.200 10.500 11.781 8.000 9.350 7.833 12.950 20.600 20.432 Spinal Fusion 62.000 7.125 24.750- 25.900 13.500- 15.000 5.900 9.000 12.000 18.000 32.400 30.915 Liposuction 3.333 1.200 4.376 4.000 3.000 2.500 4.950 7.551 Bone Marrow Transplantation 300.000 40.000- 70.000 250.000 50.000- 60.000 90.000 200.000 Gamma Knife 8.676 16.650- 20.000 22.000- 25.000 Cyber Knife 13.500 Hysterectomy (Vaginal) 20.000 10.000- 11.500 5.200 5.500- 7.00 2.700 9.000- 10.500 4.250 10.100 Source: http://www.healthinturkey.org/en-EN/Price.aspx Company Logo

09.11.2012 Legal Issues Turkey supports medical tourism via governmental regulations and incentives. The European Union accepted the “Directive on the Application of Patients’ Rights in Cross-border Healthcare” that facilitates the mobility of patient among the member countries in 2011 and it will be effective by 25 October 2013 within the member countries. Company Logo

Many airlines companies have flights to Turkey. 09.11.2012 Transportation Possibilities to the Medical Tourism Destinations of Turkey Turkish Airlines “Best Airline in Europe and Seventh Airlines in World 10 best airlines order in 2012” Flights to more than 200 destinations Support packet for organization operated in medical tourism (special discount and incentives for patients and their two chaperons who chose Turkey for treatment) Many airlines companies have flights to Turkey. The abolition of visas with many countries Company Logo

Media Coverage and Supports to Medical Tourism 09.11.2012 Media Coverage and Supports to Medical Tourism Turkey has attracted medical tourists from all over the world with the collaborative efforts of; Republic of Turkey Ministry of Health Ministry of Culture and Tourism Ministry of Economy Ministry of Finance Some initiatives such as Foreign Economic Relation Board (DEIK), Accredited Hospitals Association Company Logo

09.11.2012 Opportunities Large pool of doctors, nurses & paramedics (Potential to educate its human resources) Increasing number of accredited health organizations Highly skilled experts Possess English speaking skills Collaboration with international well-known organizations such as Johns Hopkins Medicine and Harvard Medical School Governmental and regulatory support Geographical superiority and transportation easiness the abolition of visas with many countries Company Logo

Disadvantages of Medical Tourism for Turkey 09.11.2012 Disadvantages of Medical Tourism for Turkey It could increase the gap in healthcare service quality and in the level of development among the regions. Brain drain from public to private sector Company Logo

09.11.2012 Conclusion Turkey has potential to be one of the biggest medical tourism centers of the world thanks to its accredited organizations, well-qualified and well-educated physicians, modern technologic infrastructure, geographic and climatic superiority and natural and historical beauties. Turkey is making progress in this direction with the collaborative support of government and private sector in order to supply high-quality and lower cost medical treatment for its citizen and medical tourists. Company Logo

Thank You ! Source: http://english.busan.go.kr/06residents/08_03_01.jsp