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INDIA « Healthcare Destination to the World« A presentation by  Dr . Naresh T rehan, Executive Dir ector  Escorts Heart Institute And Research Centre Ltd  New Delhi September 21  st  , 2005

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Page 1: Dr Trehan Escort Heart

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INDIA «Healthcare Destination to the

World«

A presentation by Dr. Naresh Trehan, Executive Director 

 Escorts Heart Institute And Research Centre Ltd 

 New Delhi

September 21 st  , 2005

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WITH THE INTEGRATION OF WORLD

ECONOMIES«!

High quality treatment at a fraction of the cost,

in comparison to western countries, makes India anideal healthcare destination for highly specialized

medical care.

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Over 25 years ago, we had set a bold aspiration

for health in India

India was a signatory to the Alma-Ata

declaration 1978, to attain theglobal objective of 

 Health for All by year 2000

Escorts Heart Institute & Research Centre Ltd, New Delhi, INDIA

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But we are far from achieving that vision

Beds Physicians Nurses

Per ¶000 population,2001*

Per ¶000 population,2001*

Per ¶000 population,2001*

1.5

1.5

4.3

7.4

India

Other low incomecountries (e.g., sub- 

S aharan Af rica)

Middle income countries

(e.g., C hina, Brazil  

T hailand , Sout h Af rica,

Kor ea)

H

igh income countries(e.g., US, Western 

Eu r ope, J a pan)

1.8

1.8

1.0

1.2***

0.5**

World average 3.3

1.5 3.3

0.9

1.6

1.9

7.5

Escorts Heart Institute & Research Centre Ltd, New Delhi, INDIA

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Inspite of improvement, India is still well behind other countries

Developing

country

average

Morbidity

India

1990

India

today

Developed

country

average

339274

256

119

Life expectancy India

1951

India

today

Developing

country

average

Developed

Country

average

DALYs

Per 000 population

Life expectancy at birth

Y ears

Infant mortality

Deaths per 000 births

65 78

3763

Infant mortality

India1951

India

today

Developing

country

average

Developed

Country

average

56

146

70

Escorts Heart Institute & Research Centre Ltd, New Delhi, INDIA

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This spend matches that of other developing countries as apercentage of GDP but is low on a per capita basis

6.7

6.5

5.7

5.2

2.7

Korea

Brazil

Thailand

India

China

Per cent, 2001*

720

453

349

143

94

Korea

Brazil

Thailand

China

India

US$, PPP, 2001*

Healthcare spend as % of GDP Healthcare spend per capita

* Most recent data available has been used (1997-2001)

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Inspite of this scenario, there are Centres of Excellence

spread all across India and to name a few:

       Apollo Hospitals

      Escorts Heart Institute & Research Centre

      Wockhardt Hospitals

      Fortis Healthcare

      Tata Memorial Cancer Hospital

      Leelawati Hospital

      Manipal Hospital

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INDIAN HEALTHCARE CAPABILITY

Over 60,000 cardiac surgeries done

 per year with out comes at par with

international standards

Multi organ transplants like Renal,

Liver, Heart, Bone Marrow

Transplants, are successfully

 performed at one tenth the cost.

Patients from over 55 countries

treated at Indian Hospitals.

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HIGH QUALITY HEALTHCARE AT A

SIGNIFICANT COST ADVANTAGE

Centres of excellence providing specialty high quality treatments.

Some areas are:

Cardiology & Cardiac Surgery

Joint Replacement

Minimally Invasive Surgery & Therapeutic Endoscopy

Oncology

Pathology

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INDIAN HOSPITALS CAN OFFER MEDICAL SERVICES

AT A FRACTION OF THE US / EUROPEAN COST

PROCEDURE COST (US$)

7,500

-------

-------

8,000

3,500

6,000

26,000

69,000

6,000

2,000

US UK  

23,000

1,50,000

2,00,000

12,000

10,000

Heart Surgery

Bone Marrow Transplant

Liver Transplant

Knee Replacement

Cosmetic Surgery

40,000

2,50,000

3,00,000

20,000

20,000

INDIATHAILAND

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India has the opportunity to provide the best of theWestern & Eastern healthcare systems

Escorts Heart Institute & Research Centre Ltd, New Delhi, INDIA

 Ayurveda recognized as an officialhealthcare system in Hungary.

Doctors in the west areincreasingly prescribing IndianSystems of Medicine

More than 70% of the Americanpopulation prefer a naturalapproach to health

 Americans are said to spendaround $ 25bn on non-traditional medical therapies

and products *

Indias Gift to the World

 Ayurveda

 Yoga

Siddha

Source : Los Angeles Times* Economic times dated 25th July 2003

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1.5 billion

Bangladesh

Nepal

Afghanistan

Pakistan

Sri Lanka

India has strong health infrastructure catering to 1.5 billion people

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SAARC &

Neighbouring

Countries

EastAfrica

CIS

Middle

East

South East

Asia

USA, Australia,

New Zealand

UK 

Canada

PATIENTS FLOW IN INDIA FROM ACROSS THE WORLD

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Escorts Heart Institute & Research Centre Ltd, New Delhi, INDIA

Medical Tourism

 A recent CII-McKinsey study on healthcare says Medical Tourismalone can contribute Rs. 5,000-10,000 crores additional revenue fortertiary hospitals by 2012, and will account for 3-5 per cent of thetotal healthcare delivery market.

What India needs to do is to strengthen basic infrastructure like

 Airports, Power, Roads etc. to support these initiatives.

Medical Tourism

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ESTIMATES

* Excludes investment in bed capacity to avoid double count with investment in secondary/tertiary beds

US $ in billions

13-20

7-9 0.5-0.7 0.5-0.7 22-30

Medical equipment

could account for 20-

30% of investment in

Beds (Rs.20,000 to40,000 crore)

Investment

in secondary

 beds

Investment

in tertiary

 beds

Investment

in medical

colleges*

Investment

in nursing

schools

Investment

for other 

health professionals(e.g., pharmacists,

technicians,

administrators)

Total

investment

required

( Source: CII-McKinsey & Company Report 2002)

INVESTMENT REQUIRED TO BRIDGE THE

GAP IN NEXT 10 YEARS

0.5-1

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India needs at least 750,000 extra beds to meet the demand

for inpatient treatment by 2012- opportunity in tertiary

healthcare facilities.

India needs at least 1 million more qualified nurses and

500,000 more doctors by 2012 as compared to existing

number.- opportunity in medical education.

To raise this infrastructure, total additional investment to the

tune of US$ 25-30 billion is needed by 2012. Government and international agencies will only be able to

gear up US$ 7 billion and the rest of investment has to come

from private sector.

Healthcare Infrastructure«..In Summation

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MediCity Solution

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Concept

 To create a Johns Hopkins /

Mayo Clinic of the East. Start

research on incorporating the

strengths of traditional

medicine with allopathic

medicine to create newer

therapies

1. To provide integrated tertiary care services spanning over

20 super specialities of the highest quality at competitive

price.

2. To create core research facilities for in-house and shared

research in medicine.

3. To create a new form of medicine by researching on

traditional medicines and integrating with modern

medicine

4. To exploit potential of global health by leveraging

technology and hospitality services ( Medical tourism).

5. To leverage the strengths for value added services in

research and development ,BPO etc.

6. To provide world class education and training.

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Facilities Planned

1500 beds (350 critical care beds).

40 operation theatres.

18/20 super specialties (6/7 major like cardiology,neuro-

sciences, advance pediatrics, high end orthopedics, oncology,traumatology and 12/13 minor specialties.

R& D facilities (clinical and bio-technology) including vet labs.

Hotels & ser viced apartments and office facilities.

Education facilities. Residential complexes.

Extensive greenery plus parking ± ground coverage ± 30%.

Intelligent city.

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Thank you«