* Medical tourism market seen at $40-60 billion
* Patients go abroad to avoid high costs, long waits
* Tour operators compete with clinics' direct marketing
* Survey shows Europeans open to medical treatment abroad
By Maria Sheahan and Andreas Kröner
FRANKFURT, March 7 A dentist's office may not be
everyone's idea of a perfect holiday destination.
But a growing number of Europeans are travelling abroad for
medical treatment to save money, or maybe to combine a visit to
the doctor with some sightseeing, creating a fast-growing market
that is still largely untapped by traditional tour operators.
"It was simply cheaper for me to go to a dentist in
Hungary," said a 42-year-old physical therapist from Berlin, who
did not want to give his name.
He chose the clinic near Budapest from an Internet
advertisement, enticed by hundreds of euros in savings compared
with the same treatment in Germany. He was happy to find when he
got there that the clinic was clean, the staff competent and the
Greater efforts by clinics to lure customers from abroad for
routine procedures are creating new opportunities for tour
operators looking to expand into faster-growing markets.
Helmut Wachowiak, a professor at the International
University of Applied Sciences at Bad Honnef in Germany, says
the global medical tourism market is worth $40 billion to $60
billion and is growing at about 20 percent per year.
"The medical tourism market is still very much passing by
traditional tourism, though it is increasingly recognised as an
opportunity for the travel industry," said Wachowiak, an expert
on tourism management.
People travel abroad for medical treatment for various
reasons: it's cheaper, they face a long wait at home, or the
treatment they want is not available in their own country.
Robert MacLaren, professor of ophthalmology at the
University of Oxford, said some patients who have immigrated may
prefer to return to be close to their families when they undergo
"People will want to take the opportunity to seek treatment
in places where it might be cheaper and where they have
relatives who might be able to look after them. I'm seeing that
especially with younger people from eastern Europe," he said.
The British-based Medical Tourist Company refers about 100
patients a year to hospitals in India for treatments including
cardiac surgery, knee and hip replacement, in-vitro
fertilisation and dental work.
Chief Executive Premhar Shah reports rapid growth in demand
from customers in Africa, where it can be harder to find
well-equipped medical facilities for complex surgeries.
Shah, a medical doctor by training, said he competes with
hospitals that market directly to prospective patients as well
as companies trying to expand into medical tourism.
"It's a very competitive market because everybody wants to
jump into it," he told Reuters.
Some countries such as Germany market themselves as a
destination for medical tourism.
According to the German National Tourist Board, about 77,000
foreign patients were treated in the country in 2010, spending
930 million euros ($1.24 billion). They came mostly from other
European countries, Russia, Gulf states or the United States.
Hospital operator Helios helps organise visas, hotels and
sight-seeing trips for patients coming to Germany for treatment,
mostly from Russian-speaking countries and the Middle East.
"Many patients specifically opt for a city where they can
enjoy what the place has to offer alongside the treatment,"
Helios manager Stefan Boeckle said. "Provided their medical
condition allows for it, of course."
He cited the example of a Kuwaiti businessman who came to
Berlin for a check-up in December and booked a hotel and theatre
tickets for himself and his son, plus a limousine to take him to
hospital during the two-day stay.
Boeckle says patients from the Middle East have tailed off
slightly now that countries such as the United Arab Emirates
have started building more hospitals to attract medical tourists
A survey by consultancy IPK International has shown that 3-4
percent of the world's population travels to foreign countries
for medical treatment, and as many as 52 percent of Europeans
say they could imagine doing so.
"I think booking numbers (in health-related tourism) could
rise on a hockey stick-shaped curve in coming years," said
Claudia Staedele, a board member of German medical tourism
company Dr. Holiday. "There is still incredible room to grow."
Dr. Holiday, part of Germany's second-biggest tour operator
Rewe, focuses on vacations that have health-related elements
such as exercise classes, but also offers trips to Hungary for
dental treatment and to Turkey for laser eye surgery.
Between 2003 and 2007, the number of trips Dr. Holiday has
sold sky-rocketed from 300 to 30,000. Since then, growth rates
have been double-digit and Staedele said she sees an 18 percent
rise this year.
By comparison, overall international tourism grew by 4
percent in 2012, according to the U.N. World Tourism
Staedele said the combination of an ageing population and
growing acceptance of medical treatments abroad will bolster
growth in coming years.
Companies can also help those with chronic conditions enjoy
a holiday like everybody else.
Chiara Frattini works for Holiday Dialysis International,
part of Germany's Fresenius Medical Care, which
arranges dialysis for people on holiday.
The service started in 1996 and has seen growth of around 6
percent a year, she said. Around 2,000 people contact the
service each year, with customers mostly from the United States
and Japan, where people tend to travel in large tour groups.
She has organised dialysis in destinations such as the
Philippines, Senegal, Kenya and Thailand.
"But in the Saharan countries, it can be very difficult due
to lack of good water and treatment facilities, and some places
are just not politically advisable," she said.
The company sets up dialysis wards on cruise ships with
nurses and a specialist doctor on board.
After a lull for the European financial crisis, Frattini is
more confident. "If the patient is facing money problems, the
first thing they decide to cancel is their vacation. But I
expect that this year will be much better," she said.
For some, there is the attraction of free treatment abroad,
at which point politics comes into the equation.
In Britain, where most medical care is funded by general
taxation and delivered free within the National Health Service,
health tourism has become a contentious issue.
Legislators have called for tighter checks on patients
arriving for treatment, amid concerns that foreign citizens are
travelling to Britain to take advantage of the free service.