liv hospital, turkey as 5 star all inclusive medical treatment destination

TURKEY: A NEW DESTINATION RISING

Hasan ARSLANYÜREĞİLiv Hospital, International Services Department

Executive Manager16 October, 2014UKRAINE, Kiev

1. Global Health Performance

2. Turkish Health Performance2.1 The International Investments in Turkish Healthcare Market

2.2 The Number of Hospitals in Turkey by Year

2.3 Turkey: The Center of a 350 Million Population

2.4 Turkey's within Major Role Models in Health Tourism

3. New Era in Healthcare in

Turkey3.1 Private Insurances Holders

3.2 Transformation Program in Healthcare Industry

4. Medical Tourism in Turkey4.1 The Fundamentals of Health Tourism in Turkey

4.2 Comparison of Tourism and Medical Tourism

4.3 Triggering Steps of Health Tourism in Turkey

Contents

5. Futuristic Trends5.1 Attraction Points

5.2 It’s Not All About Price

6. Exceeding the expectations6.1 Challenging Responsibilities in Healthcare

6.2 Social Expectations

6.3 Improving Providers Performance

6.4 International Marketing

7. Educative and Training

Component

8. Value Chains

1. Global Health Performance

Total Health Investments in Turkey : 58 Billion $ (2012)

Total Health Expenditures in Turkey : 66.3 Billion $ (2012)

Total Health Tourism Market in Turkey : 1 Billion $ (2012)

Total Health Investments Around the World : 4.9 Trillion $ (2012)

Total Health Expenditures Around The World : 6 Trillion $ (2010)

Total Health Tourism Market Around The World : 100 Billion $ (2010)

2. Turkish Health Performance

• Turkey is the 14th most preferred Country for Investment (2010)

• Increasing International Investment in the four fundamental functions of Health in the last five years

(insur., hosp, biotechn. , pharma.)

• The Modernly Built Structures attracted the Investment Potential

• The Increase in International Capital Inflow and Health Tourism Income Plays an Important Role in

narrowing the current budget deficit

• The Growing International Investment Rate Due To Political and Economic Stability Upon Sharing on

Political Transparancy

2.1 The International Investments in Turkish Healthcare Market


• The Opportunity of Accessibility Increased

• Rising Health Performance with Data Quality

2.2. The Number of Hospitals in Turkey by Year


2.3. Turkey: The Center of 350 Million Population


2.4. Major Role Models in Health Tourism

Turkey 42

Brazil 26

Thailand 23

India 19

South Korea 13

Singapore 13

Taiwan 11

Jordan 10

Mexico 8

Spain 8

Malaysia 8

Israel 7

Philippines 5

Germany 3

Costa Rica 3

Panama 2

Colombia 2

JCI Accredited

Medical Institutions

3. New Era in Healthcare in Turkey

Common goal is entering into the first 10 economy globally in 2023

3.1 Private Insurance Holders

3. New Era in Healthcare in Turkey

3.2. Transformation Program in Healthcare Industry

• Universal Health Insurance ( Social Insurance Organization, Social Insurance Agency for Merchants,

Artisans of self employed policies) have been designed

• Transformation in primary health care: family practitioners programs (- 9.000 primary practicionar office)

(referring to hospitals)

• Emergency transfers supported by additional land and air transport systems

• Uniting public hospitals under a single umbrella (social security hospitals transferred to M.H)

• Openning private hospitals doors to everyone, agreement with private hospitals for the same public fee for

service

• Performance based complementary payment based on quality and accreditation

• National drug policy (reduction in drug costs)

• e-health applications ( medical and all other health care resource management systems have been

developed)

• Full Time implementation

• Planning Policy for new healthcare investments

• City hospitals (public private investment)

• (35 city hospitals, 60.000 bed capacity)

4. Medical Tourism in Turkey

4.1. The Fundamentals of Health Tourism in Turkey

1. Thermal tourism

2. Elderly care tourism and physical disabilities tourism

3. Tourist health

4. Medical tourism


4.2. Comparison of Tourism and Medical Tourism

In 2007, 33.027.943 tourists left 13.501 billion $ (20.806.000,000 TL) in Turkey.

In 2009, 32.006.149 tourists left 14.251 billion $ (21.249.000,000 TL) in Turkey.

1 tourist spends an average 700 $ in Turkey.

1 health-related tourist spends an average 8.000 $ in Turkey.

(2010, Health and Tourism Ministry Data)

In 2012, 200.000 health-related tourists spent 1 billion $ in Turkey.

In 2017, 700.000 health-related tourists are expected to arrive in Turkey~ expected to spend 3.5 billion $.

In 2023, 2.000.000 health-related tourists are expected to arrive in Turkey~ expected to spend 11 billion $.


4.3. Triggering Steps of Health Tourism in Turkey

• Economy, Tourism and Health Ministries accepts the financial contributionof

medical tourism and adopts policies and strategies for target countries.

• The Ministry of Health accesses to the correct data by “digital patient information

bank” and the forms.

• Legislation about health-related free zones (10 regions are in service until 2023)

• Hospitals in the metropolitan campuses are being established under public-

private partnership to address the planning of infrastructure to international

patient

• The establishment Health Tourism of Department at the Ministry of Health

• Establish a local accreditation system by the Ministry of Health


4.3. Triggering Steps of Health Tourism in Turkey

• The Ministry of Tourism and many non-governmental organizations (Tika, Tursab vb.)

started promotional activities.

• Many hospitals held affiliations with leading health care institutions in US.

• The highest number of JCI-accredited hospitals in the world.

• International call center is created by MoH (7/24 translation services in 4 languages)

• New regulations have been accomplished on intermediary institutions, medical spa, and

rehabilitation services

• The Ministry of Economy provided % 50 of the income tax exemption through health

tourism

• Support from the Economy Ministry : 50% of expenses within the scope of the incentive

program is refunded to the concerned hospital;

• Turkey’s largest aviation company Turkish Airlines offers benefits including 15% reductions

on medical travel and free ticket changes;

5. Futuristic Trends

• Stem cell production and application

• Regenerative medicine

• Personalized medicine based on genetics

• Robotic surgery

• Macoplasty / Knee prothesis robotic surgery

• Kindey, liver, bone morrow transplants

• Renal denervation and TAVI applications

• Truebeam technology in RT treatment

5.1. Attraction Points

5. Futuristic Trends

5.2. It’s not all about price

• It is time to focus on extreme cases

• Turkey is becoming better in irregular cases besides providing standard

treatments (pediatric neurosurgery, pediatric cardiovascular diseases,

transplantations, cornea transplants, parkinson surgery, cancer surgeries, obesity

surgeries, complicated pediatric diseases etc.)

• Turkey is not the cheapest service provider

• Quality vs price balance (dependant on specific treatment cost and technology)

6. Exceeding The Expectations

6.1. Challenging Responsibilities in Healthcare

• Factors such as medical specializations, geographic proximity, portability of health insurances, the

country’s image, reputation and the available infrastructures are among the main reasons that

encourage patients to choose another destination

• IMPORTANT! One of the most important factors that could restrain growth is the issue follow-up

care. In this contex we offer our patients post-treatment comprehensive 7/24 back home follow-

up care after their return to home country

• Chronic patient follow up


6.2. Social Expectations

• Providing patients with an interpreter who shares their language and culture;

• Arranging appointments with a male or female doctor in line with the paitent’s

scoial and religious expectations (unverbal communication)

• Offer patients special meals on major religious and feast days such as

Christmas and Easter or offer meals on personal dietary demands. (halal or

kosher food)

• Arrange visits to Churches;

• Arrange city tours around Istanbul.

• Offer second opinion serviceses to paitient by our on staff before they arrive,

as well as free-of-charge transfers and translator / interpreter services. All

these give us a marketing advantage.

• Gain patient’s confidence with pre-arrival teleconferences and Skype

discussions.

• Consider the needs of Jehovah’s Witnesses etc.

Heart Network


6.3. Improving Providers Performance

• While most of the Health industry works on a payback system,

hospitals need to attract patients in collaboration with diplomatic

missions, insurance companies and health forums,

• Intermediaries are incorporated into the organization, adopting

corporate culture to creat more productive working environments;

• Cooperation with physicians abroad for patient refferral or training,

fellowship purpose in anticipation of referrals;

• Open offices in the target countries

• Provide all kind of PR and marketing support to the international

partners or agencies

• 2nd opinion services (free of charge)


6.4. International Marketing

Forget Global Think Local


6.4. International Marketing

• Provide medical outcomes

• Compare with international players on the ethical basis

Comparative Results of Rectal Cancer

7. Educative and Training

Component

• Private and public faculties or powerful private

hospitals and networks recieve physicians, nurses,

technicians for training purposes as fellowships or

observership programs and certificate programs

• Designing international courses on advanced treatment

(live performance)

• Need a sophisticated subspecialization in medical

departments for better medical results and to be able

to accept health experts from abroad.

8. Value Chains

• Global company formation (with global funds entering into the company), corporate culture

• Global approach in medical tourism by providing the recent needs to the developing countries

• Mutual investments or binding affiliations abroad (in neighbouring countries)

• Chain organizations for scale of economics and wide service provision within the country and abroad

• Complementary service chains (lab. Patology, Genetic lab, facility managements)

• Private hospitals in affiliation with private medical faculties

• Long distance reporting (robotic utilization besides tele medicine applications and treatments)

• Keep the leadership with medical technology investment and expert physicians

˝ How future technology will effect tomorrow’s presence˝

Access to quality health care is a natural right for everyone…

No matter where…

THANK YOU

liv hospital, turkey as 5 star all inclusive medical treatment destination

Health & Medicine