abu bakar suleiman - medical tourism - malaysia

8/18/2019 Abu Bakar Suleiman - Medical Tourism - Malaysia

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Medical Tourism – Malaysia

Tan Sri Dato‘ Dr Abu Bakar SuleimanPresident

International Medical University (IMU), Kuala Lumpur, Malaysia



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




Definition

•All activities related to travel and hosting atourist who stays at least one night at the

destination region, for the purpose of

maintaining, improving or restoring healththrough medical intervention

(G Musa, U. Malaya)

Source:http://www.mpc.gov.my/mpc/images/file/Highlights/APIC_Paper%20Presentation/Goi ng_Global_Medical_Tourism.pdf

2




•Have always been part of the healthcareservices 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




•Started to be given prominence after1997/1998 Asian Financial crisis, with

collection of relevant data

•Included in government planning agenda,

which included relevant interaction between

government agencies and industry membersinvolved

4




Government

•Extension of visa period for health patients

•Tax incentive to refurbish wards, rooms inprivate 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

2009 5



Medical Tourism Receipts/Revenue in Malaysia,

2000-2011

Source: Malaysia Healthcare Travel Council; “Medical Tourism and the state in Malaysiaand Singapore, National University of Singapore“, Chee 2010

6



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, 2012

7



Comparison of Healthcare Travelers from Top

20 Country of OriginNo Country ofOrigin

Healthcare Travellers Increase fromprevious year (%)

2010 2011

1 Indonesia 261,177 335,150 28.32

2 India 16,940 18,604 9.82

3 Japan 14,937 16,111 7.85

4 United

Kingdom

8,254 12,704 53.91

5 China andHong Kong

7,941 11,886 49.68

6 United States 7,557 10,584 40.05

7 Australia 7,157 9,678 35.22

8 Iran 3,374 8,836 161.88

9 Libyan Arab

Jamahiriya

6,008 7,225 20.25

10 Nepal 3,179 6,727 111.60 8



Comparison of Healthcare Travelers from Top

20 Country of OriginNo Country of

OriginHealthcare Travellers Increase from

previous year (%)

2010 2011

11 Saudia Arabia 5,069 6,580 29.80

12 Myanmar 3,161 5.885 86.17

13 Singapore 4,307 5,879 36.49

14 Philippines 4,143 5,602 35.21

15 Virgin Islands,

British

1,151 5,479 376.02

16 Others 7,305 5,367 -26.52

17 Bangladesh 3,332 5,071 52.19

18 Germany 3,375 3,991 18.25

19 Korea, Republicof

1,706 3,521 106.38

20 France 2,407 3,394 41.00 9



Total Number of Foreign Patients in Malaysia

Source: Malaysia Healthcare Travel Council; “Medical Tourism and the state in Malaysiaand Singapore, National University of Singapore“, Chee 2010

10



Price of Selected Medical Procedures in the US,

Thailand, Singapore and Malaysia (In US$)

Source: Woodman (2007), as cited in Malaysia Healthcare Travel Council 2012

11




•Empirical study on Medical Tourism in Kuala

Lumpur – sample of 5 hospitals (G Musa, U. Malaya, 2011)

Source:http://www.mpc.gov.my/mpc/images/file/Highlights/APIC_Paper%20Presentation/Going_Glo

bal_Medical_Tourism.pdf

•400 questionnaires, 138 completed (34.5%)

12



Health Tourist Profiles – Kuala Lumpur

Female 56.5% Male 42.8%

CosmeticSurgery

20.3% Female 89.3%

Between 21-60years old 79.7%

SE Asia 52.2% Australia 5.1%

European 18.1% New Zealand 5.1%

13



Pull factors

•“ Value for money”

•‘Excellent medical services’ and supporting

services

•Cultural similarity – important to ASEAN

tourists, but not to others

14



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 ofECFMG, USA

•Accreditation of Hospitals

– Malaysian Society for Quality in Health (MSQH),

1998, (based on Australian Standards)15



MSQH

• ISQua Accreditation certification on MSQH

Surveyor Training Program December 2011-

November 2015

• ISQua Accreditation certification on

standardsJune 2012-May 2016

• ISQua Accreditation certification for

organisation

June 2012-May 2016 16



Accreditation of Hospitals

• MSQH (February 2013)

• Joint Commission International

• MSQH, JCI – accredited by ISQua

– International standards

– JCI – hospitals that market internationally 17

Government hospitals 60

Private hospitals 30

2011 9

2012 6



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



Medical Tourism

Impact on equity, quality, efficiencyEquity

•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 whenwell 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



Medical Tourism

Impact on equity, quality, efficiencyQuality

• Improvements with superior management, better

information systems, foreign investment andexpertise

• Through better standards of service, superior healthoutcomes

• Not through influx of technology

• Need for proper regulatory environmental

Under regulated environment – detrimental to

overall equity and efficiency of healthcare system 20



Medical TourismImpact on equity, quality, efficiencyEfficiency

•Avoid a two-tier health system

•Effective regulatory framework to ensureoverall equity and efficiency of health sector

•Need for clear national policies on healthcareand health financing

21



Medical Tourism Malaysia

• Growing contribution to the economy

• Heightened concern on quality of healthcareservices 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

abu bakar suleiman - medical tourism - malaysia

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