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Gulliver in the land of giants? The opportunities of the Hungarian initiations in the surgical medical touristic market Is it good to be a silent Gulliver? TTRA conference, 2th Sept. 2010, Budapest Ivett Sziva, Ph.D. student Budapest Corvinus University, Hungary

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Gulliver in the land of giants?The opportunities of the Hungarian initiations in the surgical medical touristic market

Is it good to be a silent Gulliver?

TTRA conference, 2th Sept. 2010, Budapest

Ivett Sziva, Ph.D. studentBudapest Corvinus University, Hungary

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1. Defining Medical Tourism A border-less product?

2. Scope of competition Features of the market, Quality &

management issues

3. Case of HungaryScope of MT and success / failure factors

Content

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Defining Medical Tourism (MT)medical, health-related, clinical, medical

surgical…travel or tourism…?

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Defining Medical TourismA border-less product?

100 ths were healed in our hospital (Minister 1.)..200 ths patients arrived at us (Minister 2.)

Dimensions Statement (McKinsey, 2009)

Statement (Youngman, 2009)

1. Length of stay in hospital Only inpatients In- and outpatients 2. Main motivation Only for medical travel Mixed motivations 3. Emergency included No emergency No emergency4. Expatriates included No expatriates No expatriates5.Trip to neighboring countries

Excluded Included

6. Type of treatments Western medicine Holistic view7. Estimated volume of the market (touristic arrival)

85.000 worldwide 5 millions worldwide

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Scope of competition

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The features of the MT market

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Quality and processWhat do they want?

Medical factors Touristic factors Reputation and skills of the doctors Results of the medical treatm. Price of the treatments Insurance and guarantee Follow-up and supporting services Foreign language skills

Reputation as a touristic destin.Price of the tripDeveloped infrastructureCultural closenessSafety and stability

The main factors of medical travel decisions

After-care ?

The MT process

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Quality and processA could-be model of the main factors

Medical services

Transparency

Seamless services

Quality control - accredition

High-skilled staff

Tourism

Attractiveness, image

Developed infrastructure

Safety

Touristic service suppliers

Supporting services

DMOs

Image

Clinics, Hospitals

Education system

Accrediting instit.

Assistance serv.

IFCs

FacilitatorsFollow-up services (mother country)

Innovation Insurance

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The Case study of Hungary

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Defining medical tourism in HUUnbalanced situation

Therapeutic = thermal water

Clinical

Public belief & governmental subsidy

Definition & appreciation

Turnover / year

ESKI (2009)

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An Overall picture Esimation...300-400 ths MT tourists

come to HungaryWhy do they come?Main advantages, attractiveness

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Clinical tourism (CT)Two major sectors

Happy Dent destination Bottom-up initations: 600-800 pcs Main CT areas: dentistry (80%),

cosmetic-, eye surgery; IVF + obesity surgery marginal

Source mark: A, CH, D, IR, Ro, DK 90% of the total revenue

Private sectorPublic sector

Public ownership & insufficiency: n/d about the participants

Main CT areas: gynaecology cancer-, cardio-vascular treatments, eye surg.

Source mark: D, Ro, A, S, UA, USA 40-50% of the total arrivals

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Private clinics„Silent Gullivers”

Evaluation of the success factors +

Image Great reputation,

individual marketing, state marketing recently

Innovation Up-to date technology Used&unused

synergies with natural resources

Seamless services Pre-travel services in

dentistry = best pract. Great aminity +

cooper. with tourism Using intern.

facilitators not general Missing follow-up

serv.

+ / -

_

Insurance Good practice to solve

patients’ mobility No communication

Transparency Statistics of the

results totally missing Communication of the

prices & guarantee is various

Accrediation JCI, Tempos, AHCS

are total missing 15% have TÜV/ISO

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Public clinics

Evaluation of the success factors

+

Innovation Up-to date technology-

level World famous

treatments (Pető., Kaáli method, invasive cardiol.) but lack of capac.

Seamless services Capacity problems Problems in HR,

aminity Using intern.

facilitators is rare

+ / -

_

Insurance Private & public

insurance mainly from I, D

Transparency Statistics of the

results totally missing System transparency

is insufficient

Accrediation JCI, Tempos, AHCS

are total missing TÜV/ISO general

Image The innovations, and

the good level of technology not commonly known

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Conclusion

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ConclusionReaching 3 & 4. stage is not so far away…

Using out world famous results (more capacity, more communication)

Development of R+D (more subsidies) Building complex niche products (with rehabilitat.)

Premium category based on high level know-how

Spreading the importance of seamless services+accred National touristic communication Building out „partner-hospital” in public sector, using out

capacity in orthopedics & cardiology Differentiation: building on therapeutic touristic serv.

Medium category with permanent patient flow, and professional market behavior

Countries with price advantage and bottom-up initiations

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Thank you for your attention!

Ivett Sziva, Ph.D. [email protected] University Budapest, Hungary