Medical Tourism Malaysia. Tan Sri Dato Dr Abu Bakar Suleiman President International Medical University (IMU), Kuala Lumpur, Malaysia

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1 Medical Tourism Malaysia Tan Sri Dato Dr Abu Bakar Suleiman President International Medical University (IMU), Kuala Lumpur, Malaysia

2 Medical Tourism - Malaysia Development of Medical Tourism Malaysia Medical Tourism Revenue, Arrivals, Costs Study on Medical Tourism Kuala Lumpur Quality Medical Tourism Impact on equity, quality, efficiency 1

3 Medical Tourism - Malaysia Definition All activities related to travel and hosting a tourist who stays at least one night at the destination region, for the purpose of maintaining, improving or restoring health through medical intervention (G Musa, U. Malaya) Source: ng_global_medical_tourism.pdf 2

4 Medical Tourism - Malaysia Have always been part of the healthcare services provided, but was a very small part of the workload Tended to be localised to towns with traditional links with neighbouring countries eg Penang, Malacca 3

5 Medical Tourism - Malaysia Started to be given prominence after 1997/1998 Asian Financial crisis, with collection of relevant data Included in government planning agenda, which included relevant interaction between government agencies and industry members involved 4

6 Medical Tourism - Malaysia Government Extension of visa period for health patients Tax incentive to refurbish wards, rooms in private hospitals Tax exemption to private hospital to expand, modernise, refurbish Ministry of Health developed health tourism website in 2010 information on products, prices, location of healthcare services Malaysia Healthcare Travel Council formed in

7 Medical Tourism Receipts/Revenue in Malaysia, Source: Malaysia Healthcare Travel Council; Medical Tourism and the state in Malaysia and Singapore, National University of Singapore, Chee

8 Medical Tourist Arrivals to Malaysia, 2011 Source: Overview of the development of Malaysia Healthcare towards Medical Tourism, Dr Mary Wong Lai Lin, CEO of Malaysia Healthcare Tourism Council,

9 Comparison of Healthcare Travelers from Top 20 Country of Origin No Country of Origin Healthcare Travellers Increase from previous year (%) Indonesia 261, , India 16,940 18, Japan 14,937 16, United Kingdom 5 China and Hong Kong 8,254 12, ,941 11, United States 7,557 10, Australia 7,157 9, Iran 3,374 8, Libyan Arab Jamahiriya 6,008 7, Nepal 3,179 6,

10 Comparison of Healthcare Travelers from Top 20 Country of Origin No Country of Origin Healthcare Travellers Increase from previous year (%) Saudia Arabia 5,069 6, Myanmar 3, Singapore 4,307 5, Philippines 4,143 5, Virgin Islands, British 1,151 5, Others 7,305 5, Bangladesh 3,332 5, Germany 3,375 3, Korea, Republic of 1,706 3, France 2,407 3,

11 Total Number of Foreign Patients in Malaysia Source: Malaysia Healthcare Travel Council; Medical Tourism and the state in Malaysia and Singapore, National University of Singapore, Chee

12 Price of Selected Medical Procedures in the US, Thailand, Singapore and Malaysia (In US$) Source: Woodman (2007), as cited in Malaysia Healthcare Travel Council

13 Medical Tourism - Malaysia Empirical study on Medical Tourism in Kuala Lumpur sample of 5 hospitals (G Musa, U. Malaya, 2011) Source: bal_medical_tourism.pdf 400 questionnaires, 138 completed (34.5%) 12

14 Health Tourist Profiles Kuala Lumpur Female 56.5% Male 42.8% Cosmetic Surgery 20.3% Female 89.3% Between years old 79.7% SE Asia 52.2% Australia 5.1% European 18.1% New Zealand 5.1% 13

15 Pull factors Value for money Excellent medical services and supporting services Cultural similarity important to ASEAN tourists, but not to others 14

16 Quality National Register of Specialists Ministry of Health & Academy of Medicine Malaysia Qualifications Training Experience Accreditation of Medical Schools Malaysian Medical Council, 1997 with support of ECFMG, USA Accreditation of Hospitals Malaysian Society for Quality in Health (MSQH), 1998, (based on Australian Standards) 15

17 MSQH ISQua Accreditation certification on MSQH Surveyor Training Program December November 2015 ISQua Accreditation certification on standards June 2012-May 2016 ISQua Accreditation certification for organisation June 2012-May

18 Accreditation of Hospitals MSQH (February 2013) Government hospitals 60 Private hospitals 30 Joint Commission International MSQH, JCI accredited by ISQua International standards JCI hospitals that market internationally 17

19 Malaysia Comparative Advantages Lower labour costs Large skilled work force Facility with English language Availability of alternative therapies Attractive natural environment Health facility, technology 18

20 Medical Tourism Impact on equity, quality, efficiency Equity Affected if gains largely benefit the well to do Poor can only benefit with better access to healthcare if resources were reallocated in public sector when well to do make greater use of private sector Brain drain to private sector problem for public sector Two tier health system to be avoided 19

21 Medical Tourism Impact on equity, quality, efficiency Quality Improvements with superior management, better information systems, foreign investment and expertise Through better standards of service, superior health outcomes Not through influx of technology Need for proper regulatory environmental Under regulated environment detrimental to overall equity and efficiency of healthcare system 20

22 Medical Tourism Impact on equity, quality, efficiency Efficiency Avoid a two-tier health system Effective regulatory framework to ensure overall equity and efficiency of health sector Need for clear national policies on healthcare and health financing 21

23 Medical Tourism Malaysia Growing contribution to the economy Heightened concern on quality of healthcare services by authorities beyond Healthcare sector Potential issues of concern: Equity, efficiency of healthcare services Avoid two tier healthcare system Need for clear policies on healthcare financing 22

24

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