Medical Tourism in Singapore
Medical
tourism is expanding rapidly in Singapore. There are many reasons for
this, not least the evolution in technology and the increasing
affordability of travel. The World Health Organisation recently ranked
this small city state as having the world's sixth-best health care
system, and Asia's highest. The Singaporean government has ambitious
plans to maintain this trend, aiming to attract an annual turnover of a
million patients.
The
visitors attending Singapore's facilities from neighbouring countries
include rising numbers from Indonesia, Indochina and Malaysia. It is
testament to the services on offer that patients continue to arrive from
the UK and the USA.
The
healthcare services on offer are varied. Singapore launched the National
University Heart Centre – the region's first cardiology clinic aimed
specifically at women. In addition to first class cardiac surgery, other
specialities include gastroenterology, neurology, oncology,
orthopaedics and stem cell therapy, as well as general surgery.
Parkway
Pantai Ltd (PPL), part of the IHH Healthcare Berhad Group, one of
Asia's largest and most prestigious private health groups, operate
several establishments in Singapore. All accredited by Joint Commission
International, these include Gleneagles Hospital, Mount Elizabeth
Hospital and Parkway East Hospital, and are staffed by upwards of 1,200
fully-qualified medical specialists.
Reasons for medical tourism
There
are two fundamental reasons for the rise in medical tourists visiting
Singapore. Firstly, the most important aspect of the healthcare being
offered is its sheer quality rather than any cost issues. Secondly, the
market offering the clearest signs of potential growth is no longer the
long-established route emanating from Western Europe or North America,
but the newer and rapidly-expanding areas of Asia and Eastern Europe.
Singapore's
renowned expertise in specialist care and high-end surgical procedures
has also promoted a steady rise in the influx of visitors from
neighbouring countries. PPL now report that those enquiring about places
in any of their institutions are now just as likely to be calling from
anywhere around the Java Sea and the surrounds.
The
Raffles Medical Group (RMG), one of Singapore's most striking success
stories, began with just two clinics in 1976. They now boast over a
million patients and 6,500 corporate clients, including government
agencies and local and multi-national corporations. RMG reported an
increase of more than 25% in their medical tourist admissions last year.
The overwhelming majority of these were from Indonesia.
Singapore's
location is central to its attraction. For Indonesians seeking to take
advantage of its reasonably-priced healthcare, its world-class
facilities are one flight away. There is any number of reasons given by
medical tourists for making the short journey over the Java Sea. In one
example, when relating his experiences of his nearby hospital in
Jakarta, 54-year-old heart patient Widjil Trionggo stated: “They wanted
to cut into my chest first then specify the cost afterwards”. The
recommended procedure also included tackling his blocked arteries with
balloon angioplasty, where the surgeons would insert stents into the
vessels. Widjill noted his local doctors didn't know exactly how many
stents would be required. Disillusioned by the levels of Indonesian
expertise, he flew out to Malaysia, where the recommendation was a heart
bypass.
Widjill's
experience of contrasting diagnoses is typical. Another Indonesian
medical tourist, Siaw Kian, aged 57, gave straightforward reasons for
booking into a Singaporean clinic. This was a far more preferable option
to enduring the healthcare offered by her local hospital in Jambi:
“Service is fast. We had good information on what the doctors wanted to
do and the charges were almost similar or even cheaper than if we had
gone to hospitals (at home)”.
The
large numbers of medical tourists coming from Indonesia owes much to
word of mouth recommendations. A marketing manager for PPL, Suwandi Leo,
cites patient referrals as being key to building trust in Singaporean
healthcare: “The best spokespeople are the patients”.
Leo
acknowledges the invaluable contribution of medical tourists to the
success of his institution, with foreign patients accounting for over
one-third of all admissions. Indonesians choosing to visit do so at
their own initiative; or when compelled to do so by their own doctors.
Admission statistics ingathered since 2009 demonstrate that the three
hospitals in the PPL have been treating an average of 37 Indonesian
patients per day, with each staying for an average of 3.7 days. They are
being treated for diverse conditions; as straightforward as routine
check-ups or as complex as strokes, cancer or heart disease remedies.
What
makes the large figures for Indonesian medical tourism even more
interesting is the fact that, compared to the costs of health care in
Indonesia, treatment in Singapore is relatively high. Additionally,
because Indonesians are not always guaranteed to be covered by private
health policies, they tend to pay for their visits to Singapore out of
their own pocket.
This
conclusion has been underscored by Kamaljeet Singh Gill, a marketing
executive at PPL, who has commented that the numbers of overseas medical
tourists arriving in Singapore is continuing to rise. “We have foreign
patients from as far as Finland, but Indonesia is our largest
foreign-based market country”.
Demographic trends
American
and British tourists were traditionally the likeliest candidates for
taking advantage of Singapore's healthcare system, but with lower prices
in neighbouring countries, particularly India, Malaysia and Thailand,
more and more tourists are coming from Asia. In fact, as localised
economies have begun to outstrip healthcare developments, there has been
a considerable demographic shift in medical tourists visiting
Singapore. Those foreign patients who have been inspired to take
advantage of its enviable healthcare services now account for the top
five health visitor nationalities. Almost half of all foreign patients
now hail from Indonesia, with neighbouring Malaysians tallying at around
12%. Next are Bangladeshis at 5%, Vietnamese at 4% and Burmese at 3%.
The
worldwide financial downturn at the end of 2009 undoubtedly caused a
sharp dip in Singapore's medical tourist trade. However, there are
strong indications that the plucky city state is bouncing back.
According to Singapore's highest-selling newspaper, The Straits Times,
the total figures of international patients is rising again. The
government have reiterated this observation; indeed, the Ministry of
Health, along with the Singapore Tourism Board, have published some
startling findings. In 2011 Singapore welcomed almost 36,000 medical
tourists. This influx helped boost the city state's economy to the tune
of almost S$1 billion (US$806.9 million).
Medical
tourists tend to book into private hospitals for treatment where
procedures are not so expensive (foreign patients don't enjoy any
subsidies at Singapore's public facilities). While a lot of these
tourists are attracted to specialist services, the majority undergo
general surgery.
But
there are even more compelling reasons for patients gravitating towards
Singapore, not least the fact that over one-third of its residents are
English-speaking. This extrapolates to even higher numbers in the
medical community, indicating just how developed the Asian city state
has become.
Attracting patients
The
Singaporean government has been quick to capitalise on the potential
investment opportunities afforded by tens of thousands of medical
tourists flooding into the country. They have set out bold plans to
attract one million medical tourists and statistics ingathered by the
Singapore Tourist Board have indicated they are well on the way to
realising this, with the 2012 tally sitting at 850,000. (The one note of
caution acknowledged by the Board is the fact that these overall totals
do not differentiate between actual medical tourists and holiday or
business travellers who have used the facilities).
Westerners
once provided a steady turnover of patients seeking cheap but effective
treatment from Singapore healthcare professionals. Nowadays visitors
are arriving for completely different reasons. While money remains a
concern, more visitors are coming because they know they will receive
excellent medical service. India, Malaysia and Thailand are now
increasingly competitive in many areas, such as ballooning and stenting
of blocked arteries, heart surgery and cataract operations. This state
of the art surgical care extends to organ transplants and cancer
treatments.
The
costs of health screening in Singapore can be anything between 500 and
2,000 Singapore dollars (equivalent to between 400 and 1,600 US
dollars). These are not unduly high figures; however, for the PPL
hospitals they represent tens of thousands of paying patients per annum.
PPL offer treatment packages to help prospective patients to decide the
best course of action. These packages even cover the trickier
procedures, such as liver transplants. Prior to any operation, the
patient and the medical staff will discuss the costs of various
procedures, ensuring patients get a good idea of the bill that will be
presented to them at the conclusion.
If
the various Singapore healthcare institutions can rely on patient
testimonials to spread the word on their superb services, technology is
also providing excellent marketing tools.
Social media
Social
media is being harnessed to promote the benefits of the healthcare
institutions run by PPL, the RMG and others. Marketing executives are
now targeting prospective customers in neighbouring countries, with
virtual campaigns being unleashed across Facebook or Twitter.
Indonesians are particularly susceptible to this type of advertising, as
they are amongst the globe's most enthusiastic and prolific users of
social media.
Apps
Similarly,
mobile phone apps are being deployed to attract would-be medical
tourists across the Java Sea. Again, these are proving to be an
effective tool for gaining the attention of customers in Indonesia, a
country with a high percentage of mobile phone users.
Video
Healthcare
institutions are adopting visual media as a way of hooking-in
interested parties. It is one thing to receive a glowing report about
the standards of service in Singapore from a former patient, but to
actually be able to witness aspects of this care in an informative film
is even better.
E-learning
Potential
Indonesian medical tourists might also be influenced as part of a
broader e-learning initiative. Computer-based and web-based instruction
courses will emphasise the cutting edge technology that is being
championed by Singapore's medical establishments.
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