1. to reap the benefits of the same

Dr. Anupama Sharma- This paper highlights the potential of Medical
Tourism industry in India. It also helps in introspecting the Hospital
Accreditation system for Medical Tourism, examining the role of Government in
promoting infrastructure for Medical Tourism and analysing the latest trend to
increase the flow of Medical tourism. For analyzing the potential and
significance of medical tourism in India, the data has been gathered through
secondary sources which includes Books, Magazines, Journals, E-Journals and
websites etc. After analyzing all the facts it can be concluded that India is
in an advantageous position to tap the global opportunities in the medical
tourism sector. The government’s role is crucial to the development of medical
tourism. The government should take steps in the role of a regulator and also
as a facilitator of private investment in healthcare. Mechanisms need to be
evolved to enable quicker visa grants to foreign tourists for medical purposes
where patients can contact the Immigration Department at any point of entry for
quick clearance.


Ramash U and Kurian Joseph-This paper evaluate the striking feature of
healthcare industry in India is its potential to grow at a much faster rate in
the foreseeable future. In this prevailing situation, Health Tourism has
emerged as a separate industry with incredible potential. Health  tourism refers to trips that are taken by
tourists with the principal purpose being to improve their health and/or
wellbeing. Today, once again, promoting the healthful and health-care benefits
of a destination is gaining popularity because tourism marketers need ways to
differentiate their products. Kerala can tap this trend by highlighting its
unique health care products. The State, almost synonymous with the word
‘Ayurveda’, is now all set to reap the benefits of the same through Wellness
tourism. Kerala has the advantage of worldwide recognition, as it has been
included in the list of the ten must-see destinations by the National
Geographic Traveler. Wellness, in general, is used to mean a healthy balance of
the mind, body and spirit that results in an overall feeling of well-being. The
concept of health holiday, now better known as Wellness holiday, is based on
the principles of Ayurveda, meditation, yoga, physical exercises and a balanced
diet. It is like rejuvenation and cleanup process on all levels – physical,
mental and emotional. Ayurveda deals elaborately with measures for healthful
living during the entire span of life and its various phases. Besides, dealing
with principles for maintenance of health, it has also developed a wide range
of therapeutic measures to combat illness. In order to cope with the growing
demand for wellness, resorts, hospitals, medical practitioners and Government
have taken ample measures to promote alternative health care in Kerala. Along
with the projects already underway, there is a need to draw up plans for
promotions in future. This paper investigates the reasons why Kerala is now
pioneering as an alternative healthcare destination and the main objective is
to analyze the reason as to why Kerala is being chosen as a preferred
destination for Wellness Tourism. An attempt is made to study the market
potential and strategies adopted for Kerala to emerge as the most sought after
Wellness tourism destination in the Globe.

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Dr Rajendra Mishra and Kumar Shailesh – This paper explains Medical Tourism in India is
budding as an exponential growth of 25%-30% annually. Medical Tourism (also
called medical travel, health tourism or global healthcare) is the practice of
traveling abroad to get hold of healthcare services. Typically, by traveling
abroad patients not only save a considerable amount of money but also receive
worldclass service. There are different opinions as to whether medical tourism
is still a promising industry or had been considered firmly established. The industry
is being followed and promoted by several trustworthy organizations, including
the Medical Tourism Association (MTA), the Deloitte Center for Health
Solutions, and the Joint Commission International. The MTA is an industry group
actively involved in promoting the Medical Tourism industry, above all through
its publication. The Deloitte Center is a research arm of the global accounting
firm on healthcare. The JCI is a division of the Joint Commission which is
involved in accrediting health care facilities outside the United States.
National Accreditation board for hospitals (NABH) is responsible as Indian
regulatory body for medical travel in India. India’s medical tourism is
dominated by the private sector from the corporate houses. Medical Tourism in India
has 80% hospital managed by private sector, which is ultimately invigorating
and making India a global medical Tourism destination.


Ann Sommer Rutherford -This study is an investigation of the impact on
the health of local populations spurred by the medical tourism industry. More
specifically the study explores a possible increase in life expectancy in areas
surrounding medical tourism facilities in India. There are Ten Indian States
examined in this study; five states are host to a leading location of Apollo
Hospitals, and five are not. Despite the small sample size, the chosen states
present a good representation of Indian states based on size, wealth, and
health indicators. The findings show that the presence of Apollo Hospital
Medical Tourism facilities may lead to increased life expectancy of Indian
state populations.


Saptarshi Dutta, Mukul Sengupta, Susanta Kumar Rout – This paper explains healthcare, like food and
shelter, is a basic need of Humanity. Given the potential India holds as a
healthcare destination, the healthcare tourism sector can be a major source of
foreign exchange earnings for the country. India’s healthcare sector has made
impressive strides in recent years and the country is increasingly projected as
a ‘healthcare hub’. Several features have positioned India as an ideal
healthcare destination, like cost effective healthcare solutions, availability
of skilled healthcare professionals, reputation for successful treatment in
advanced healthcare segments, increasing popularity of India’s traditional
wellness systems and rapid strides made in information technology. The sector
is witnessing a ‘reverse brain-drain’ trend, with increasing number of
specialists, who have been practicing abroad, showing keen interest to come
back and practice in India. Such developments further enhance the potential of
India as a ‘healthcare hub’ of the world. People travel to India for availing
healthcare services for diverse reasons. While healthcare tourists from United
States are primarily reported to be traveling to India, as the cost of getting
treatment in home country is expensive, travelers from Europe are reported to
be seeking healthcare services in India due to the complexity of availing the
healthcare services in their home country. Some of the tourists from West Asia
and Africa region travel to India due to affordability of treatment and quality
of services rendered. A section of tourists from different parts of the world
travel to India for traditional healthcare services, such as Ayurveda and Yoga.


Nicola S Pocock and Kai Hong Phua – This paper explains medical tourism is a growing
phenomenon with policy implications for health systems, particularly of
destination countries. Private actors and governments in Southeast Asia are
promoting the medical tourist industry, but the potential impact on health
systems, particularly in terms of equity in access and availability for local
consumers, is unclear. This article presents a conceptual framework that
outlines the policy implications of medical tourism’s growth for health
systems, drawing on the cases of Thailand, Singapore and Malaysia, three
regional hubs for medical tourism, via an extensive review of academic and grey
literature. Variables for further analysis of the potential impact of medical
tourism on health systems are also identified. The framework can provide a
basis for empirical, in country studies weighing the benefits and disadvantages
of medical tourism for health systems. The policy implications described are of
particular relevance for policymakers and industry practitioners in other
Southeast Asian countries with similar health systems where governments have
expressed interest in facilitating the growth of the medical tourist industry.
This article calls for a universal definition of medical tourism and medical
tourists to be enunciated, as well as concerted data collection efforts, to be
undertaken prior to any meaningful empirical analysis of medical tourism’s impact
on health systems.


Marc Piazolo and Nur?en Albayrak Zanca – The objective of this paper is to demonstrate a
simple Ricardian model of international trade for health care industries of
different countries. Their motivation is to illustrate that specialization and free
trade result in gains from international trade. By adopting the model of
comparative advantage to the costs of medical surgeries, show that trade
between our two model countries – India and the USA – is beneficial to both of
them. People focused on these two countries due to their prominence in
worldwide medical tourism flows, as well as due to their significant difference
in per capita income. By specializing on the type of surgery they are most
efficient in producing, it will enhance well being of both nations. Numerical
examples and graphical presentations help to support our arguments. Beside the
global aspect of medical tourism, we also want to shed some light into regional
patient flows with a focus on Germany and Hungary. In addition, lift some of
the more restrictive assumptions. By including transportation costs as well as
a larger variety of surgical services, the central message of the beneficial
effect of specialization still remains, even though the general picture becomes
slightly blurred. There is evidence for support of a more multi-polar
international system of trade in medical services the moment one extends the
economic analysis with additional countries.


Mihaela dinu, Alexandra zbuchea, Adrian Cioaca – The Romanian health tourism, based on its
exceptional natural resources represents an important segment of the tourism
industry. Old tradition of valorization of thermal waters, mineral springs,
moieties curative mud spa treatments are intertwined nowadays with various
forms of medical tourism, some practiced for over four decades (the Ana Aslan
geriatric treatment) and others being more recent (cosmetic surgery, dental
care, eye surgery, etc).The main purpose of this article is to analyze the
evolution of medical tourism, especially of spa tourism in Romania, one of the
richest countries in Europe in terms of extent and excellence of specific
natural resources, with old and unsuitable infrastructure if referred to the
public spa facilities, but with modern facilities in wellness and medical
private units. The research is both quantitative and qualitative. The first
method is based on statistical analysis of data provided by the National
Statistics Institute of Romania. The qualitative analysis complements the
previous one, which is not extremely detailed and is also not available for a
long period of time. There search reveals unequal evolution of the Romanian spa
tourism, a severe discrepancy between the quality of specific resources and the
existing spa infrastructure, contradictory demand, as well as positive trends
for the medium-term future. As a research method we used first of all the
qualitative analysis – the available statistical data are rather scarce. The
research reveals the lack of investments and the necessity of implementation of
a whole host of local plans as part ofa new national strategy for tourism


Neil Lunt, Mariann Hardey and Russell Mannion – This article provides a brief overview of the
most recent development in Medical Tourism and examines how this is linked to
the emergence of specialized internet web sites. It produces a summary of the
functionality of medical tourist sites and situates Medical Tourism informatics
within the broader literatures relating to information search, information
quality and decision-making. This paper is both a call to strengthen the
empirical evidence in this area, and also to advocate integrating Medical
Tourism research within a broader conceptual framework.


Barney Warf
–  The face of rapidly rising health care
costs and a large uninsured or underinsured population, the number of U.S
medical tourists seeking assistance abroad has grown. A relative newcomer to
this field, Costa Rica offers a number of unique advantages that have
positioned it advantageously to cater to Americans. This paper explores the
rise of the country’s medical tourism sector, the cost differentials between
services performed there and in the U.S, and factors that shape the supply of
medical services, including medical accreditation and aftercare facilities. In
doing so, it addresses the local implications of the globalization of health
care, particularly as it concerns the troubled US health care system.


Weighing the Gats on a Development Scale – This study aims to provide insight on how recent
developments in the tourism industry in Goa have affected small communities in
Goa in light of both current developments and potential developments as per
India’s commitments within the GATS framework. More specifically, the study
considers two areas of Goa: the Chapora-Sinquerim and Miramar-Caranzalem
shorelines and adjacent communities, and two hotel chains in both areas; the
Taj Fort Aguada Resort and the Marriott Goa respectively. An analysis of the
relevant policy and regulation at the national and state level is provided, as
well as a consideration of the implications of the GATS on the tourism sector
in Goa. With this, we provide insight on how these three levels of policy
mechanisms relate to each other and what discrepancies exist. Moreover, by
relating the policy environment with current case studies, a more pragmatic
approach is facilitated in determining how closely firms operating within the
industry adhere to the policy environment, and what effects the industry has on
local communities.


Caribbean Environmental Network – This study is a component of a regional project
which was initiated in late 1995 to promote corrective actions regarding
land-based sources of pollution caused by tourism which have a negative impact
on coastal and marine resources. This project of the United States Agency for
International Development (USAID) supports the International Coral Reef
Initiative (ICRI), which is being implemented by a grant with the Caribbean
Environment Programme (CEP) of the United Nations Environment Programme (UNEP).
ICRI is an initiative of various governments and organizations to conserve and
manage coral reefs and their related ecosystems.


G. K. Shaw
– The primary objective of this research was to develop “A Risk Management
Model for the Tourism Industry in South Africa?, when viewed from a business
perspective. The study investigated both domestic and international risks and
their effects on the industry from a business perspective. The categories of
risk include, but were not limited to, natural risks, crime, health and safety,
political factors, economic risks, technological risks and socio-demographic
risks. The study highlighted the fact that some categories of risks significant
to one business sector may not have the same affect on another sector. However,
this did not adversely influence the development of the model. This research
has identified two significant deficiencies in respect of risk management in
the (South African) tourism industry – that there is no literature source that
provides an in-depth discussion of risks and risk management in the tourism
industry, and that there is no generally accepted risk management model and
process for use by the industry.


Ramaiahtumalla and Dr G V R K Acharyulu – The objective of the paper is to present the
current status of FDI in Hospitals, to identify some of the challenges and
opportunities in this industry. The study is descriptive in nature and based on
the secondary data that is gathered from the books, articles, reports of
Department of Industrial Policy & Promotion and other valid online sources.
The results of this study provide the current status of FDI in Hospitals and
diagnostic centers and challenges and opportunities in healthcare sector.


E-tourism in England– This paper explains, England’s tourism businesses
have the capacity to become world leaders by better use of information
technology. Tourism in England becoming more competitive and profitable as it
realizes the new market opportunities afforded by e-business. This philosophy
extend way beyond usage of e-mail and development of websites and  impact on virtually every element of the
business process. Proper integration between national, regional and local
systems becomes a reality, producing enormous advantages for both the consumer
and the tourism industry. The growth of information and communications
technology (ICT) in tourism has been patchy and inconsistent. Many businesses,
especially the smaller ones, have been understandably reluctant to invest in something
that they see as non-essential. At local and sub-regional level, many tourism
destinations – mostly local authority run or sponsored – have implemented
systems initially designed to provide better information, but later extended to
cover marketing, administration and research. While many of these are
comprehensive for the destination, there are a number of different software
solutions in use and there is little co-ordination between them. More recently,
Regional Tourist Boards (RTBs) and Regional Development Agencies (RDAs) have
started to address these issues and several have produced regional e-business
strategies and initiatives to stimulate businesses to adapt. At a national
level, ETC and the RTBs have collaborated on developing the England Net
project, through which the regions, ETC, the British Tourist Authority (BTA),
Destination Management Organisations (DMOs), Tourist Information Centers
(TICs), other tourism organisations and individual tourism businesses can all
share information via a national network.


P H Rao
– This paper explains that private health sector in India is fairly large. Its
contribution to achieving national health objectives to a large extent is
dependent on the quality of care it offers. The private sector has improved access
to medical and health care. The quality of care offered by the private health
care delivery system needs immediate attention. Improving the quality of
medical and para-medical education, capacity building, improving access to
standards and guidelines, and encouraging accreditation are some of the
measures that can improve QoC. There is also an urgent need for developing an
effective mechanism to monitor the quality of care. A centralized system might
prove useful in ensuring uniformity in standards adherence as per the
prescribed norms as state-level implementation has been found to be lacking.


Camelia Surugiu – The paper presents an Input-Output Analysis for tourism sector in
Romania, an important source of information for the investigation of the inter-relations
existing among different industries. The Input-Output Analysis is used to
determine the role and importance of different economic value added, incomes
and employment and it analyses the existing connection in an economy. This
paper is focused on tourism and the input-output analysis is finished for the
hotels and restaurants Sector