1. Executive summery Indian Tourism Tourism is the largest service industry in India, with a contribution of 6.

23% t o the national GDP and 8.78% of the total employment in India. India witnesses mo re than 5 million annual foreign tourist arrivals and 562 million domestic touri sm visits. The tourism industry in India generated about US$100 billion in 2008 and that is expected to increase to US$275.5 billion by 2018 at a 9.4% annual gr owth rate. The Ministry of Tourism is the nodal agency for the development and p romotion of tourism in India and maintains the "Incredible India" campaign. Medical Tourism in India Medical tourism in India has emerged as the fastest growing segment of tourism i ndustry despite the global economic downturn. High cost of treatments in the dev eloped countries, particularly the USA and UK, has been forcing patients from su ch regions to look for alternative and cost-effective destinations to get their treatments done. The Indian medical tourism industry is presently at a nascent s tage, but has an enormous potential for future growth and development. Medical Tourism in Gujarat During the last decade, the State of Gujarat has witnessed enormous growth of hi gh quality health care delivery facilities in the State. Gujarats Healthcare sect or has made impressive strides in recent years and is surging ahead with new fac ilities and technology. Gujarat has the State-of -the- art technology and the sk illed super specialists. This, coupled with excellent infrastructure and profess ional management, nurses and paramedical staff, can take on international compet ition for providing a range of services and treatments at a fraction of prevaili ng costs in international markets with comparable success rates and services lev els directly in proportion to the high value system and natural caring that come s with its unique cultural heritage. Exploiting the religious, cultural and wild life tourism potential of the State and collaboration with the tourism industry can complement the growth of medical tourism. Satisfaction Level of the Patients The survey of the patients who came from outside the India are mostly from the U nited States of America, Africa and United Kingdom. The major purpose to come in India are social gathering, treatment and tourism. The findings suggest that pa tients are coming majorly for the cardiac diseases, orthopedic diseases and for gastro intestinal diseases. Most of the patients select the Hospital or Doctors on the bases of the advice of their relatives or friends and from web sites. The major attraction for the patients are doctors specialization and low treatment c harges. Patients gave their first priority to the treatment, followed by financi al expenses, hospitality and accommodation. Most of the patients are satisfied w ith the treatment and facilities available in the hospital. Majority of the pati ents show their eagerness to visit the same hospital again in the future if ther e will be any need arise.

2. Research Design: An explorative study will be carried out to meet the research objective. Initially the study will be done on the different hospitals and services provide d by them. Descriptive - To gauge the mind set and view points of the patients pertaining t o their preference. The length of the questionnaire would be 11 and the sample size will be around 1 00 respondents. 3. Research Methodology 3.1 Research Objectives Macro Objectives: To find out the satisfaction level of the patients in the multi-specialty hospit als.

 To find out the factors, why NRIs are attracted towards taking medical treatment s in India. To find out which kind of medical treatment is mostly preferred by the NRIs to t ake in India. Micro Objectives: To make aware the administration department of the particular hospitals regardin g acceptance of facilities and services provided by them to the patients.

3.2 Scope of the study Collecting data from the existing multispecialty and super specialty hospitals, medical centres and polyclinics in Vadodara and Ahmedabad city. Study the satisfaction level of the NRI patients who already took and are taking treatment in the hospitals. 3.3 Nature of Research Research will be descriptive and explorative in nature. Research will be done ma inly to understand the satisfaction level of the patients and by this way can un derstands the competition and also need gaps so that better services can be deve lop.

4.

Sampling Design Process:

Sample Unit: Foreign Patients who have used health care facilities at Ahmedabad and Vadodara. Target Population: Non residents Indians who came India for treatments. Sample Size: 100 Method: Convenient Judgement sampling

Data Collection: from various major multispecialty hospitals, super specialty ho spitals, medical centres and polyclinics of Ahmedabad and Vadodara. 5. Data Sources: The data would be collected in the form of Primary data through a survey in Ahme dabad and Vadodara with the help of Personal Interviews. Field Work The Research Project work is limited to Gujarat especially Ahmedabad and Vadodar a. Fieldwork would include the following work. Taking the prior appointment from the respondents (The hospital Management) Personnel interview of Administration department of particular hospital/Medical Practitioner Personal interview/telephonic interview/email interview of patients

Primary Data Questionnaire Secondary Data Marketing Research Text books, Internet and News papers

6. Tourism in India 6.1 History and Development Tourism development in India has passed through many phases. At Government level the development of tourist facilities was taken up in a planned manner in 1956 coinciding with the Second Five Year Plan. The approach has evolved from isolate d planning of single unit facilities in the Second and Third Five Year Plans. Th e Sixth Plan marked the beginning of a new era when tourism began to be consider ed a major instrument for social integration and economic development. But it was only after the 80s that tourism activity gained momentum. The Governme nt took several significant steps. A National Policy on tourism was announced in 1982. Later in 1988, the National Committee on Tourism formulated a comprehensi ve plan for achieving a sustainable growth in tourism. In July 1991, tourism was also declared as a priority sector for foreign investment. In 1992, a National Action Plan was prepared and in 1996 the National Strategy for Promotion of Tour ism was drafted. The other major development that took place were the setting up of the India Tou rism Development Corporation in 1966 to promote India as a tourist destination a nd the Tourism Finance Corporation in 1989 to finance tourism projects. Altogeth er, 21 Government-run Hotel Management and Catering Technology Institutes and 14 Food Craft Institutes were also established for imparting specialized training in hoteliering and catering. 6.2 Current Scenario in Indian Tourism Tourism is the largest service industry in India, with a contribution of 6.23% t o the national GDP and 8.78% of the total employment in India. India witnesses m ore than 5 million annual foreign tourist arrivals and 562 million domestic tour ism visits. The tourism industry in India generated about US$100 billion in 2008 and that is expected to increase to US$275.5 billion by 2018 at a 9.4% annual g rowth rate. The Ministry of Tourism is the nodal agency for the development and promotion of tourism in India and maintains the "Incredible India" campaign. According to World Travel and Tourism Council, India will be a tourism hotspot f rom 2009-2018, having the highest 10-year growth potential. The Travel & Tourism Competitiveness Report 2007 ranked tourism in India 6th in terms of price compe titiveness and 39th in terms of safety and security. Despite short- and medium-t erm setbacks, such as shortage of hotel rooms, tourism revenues are expected to surge by 42% from 2007 to 2017. India has a growing medical tourism sector. The 2010 Commonwealth Games in Delhi are expected to significantly boost tourism in India. Wild Life in India India is home to several well known large mammals including the Asian Elephant, Bengal Tiger, Asiatic Lion, Leopard and Indian Rhinoceros, often engrained cultu rally and religiously often being associated with deities. Other well known larg e Indian mammals include ungulates such as the domestic Asian Water buffalo, wil d Asian Water buffalo, Nilgai, Gaur and several species of deer and antelope. So me members of the dog family such as the Indian Wolf, Bengal Fox, Golden Jackal

and the Dhole or Wild Dogs are also widely distributed. It is also home to the S triped Hyaena, Macaques, Langurs and Mongoose species. India also has a large va riety of protected wildlife. The country s protected wilderness consists of 75 N ational parks of India and 421 Sanctuaries, of which 19 fall under the purview o f Project Tiger. Its climatic and geographic diversity makes it the home of over 350 mammals and 1200 bird species, many of which are unique to the subcontinent . Some well known national wildlife sanctuaries include Bharatpur, Corbett, Kanha, Kaziranga, Periyar, Ranthambore and Sariska. The world s largest mangrove fores t Sundarbans is located in southern West Bengal. The Sundarbans is UNESCO World Heritage Site. Hill Stations Several hill stations served as summer capitals of Indian provinces, princely st ates, or, in the case of Shimla, of British India itself. Since Indian Independe nce, the role of these hill stations as summer capitals has largely ended, but m any hill stations remain popular summer resorts. Most famous hill stations are: Pachmarhi, Madhya Pradesh - It is also known as The Queen of Satpura. Araku, Andhra Pradesh Gulmarg, Srinagar and Laddakh in Jammu and Kashmir Darjeeling in West Bengal Munnar in Kerala Ooty and Kodaikanal in Tamil Nadu Shillong in Meghalaya Shimla, Kullu in Himachal Pradesh Nainital in Uttarakhand Gangtok in Sikkim Mussoorie in Uttarakhand In addition to the bustling hill stations and summer capitals of yore, there are several serene and peaceful nature retreats and places of interest to visit for a nature lover. These range from the stunning moonscapes of Leh and Ladhak, to small, exclusive nature retreats such as Dunagiri, Binsar, Mukteshwar in the Him alayas, to rolling vistas of Western Ghats to numerous private retreats in the r olling hills of Kerala. Beaches Elephants and camels rides are common on Indian beaches. Shown here is Havelock Island, part of the Andaman and Nicobar Islands India offers a wide range of tropical beaches with silver/golden sand to coral b eaches of Lakshadweep. States like Kerala and Goa have exploited the potential o f beaches to the fullest. However, there are a lot many unexploited beaches in t he states of Andhra Pradesh, Gujarat, Maharastra, Tamil Nadu and Karnataka. Thes e states have very high potential to be develop them as future destinations for prospective tourists. Some of the famous tourist beaches are: Beaches of Vizag, Andhra Pradesh Beaches of Puri, Orissa Beaches of Digha, West Bengal Beaches of Goa Kovalam Beach, Kerala Marina Beach, Chennai Beaches of Mahabalipuram Beaches in Mumbai Beaches of Diu Beaches of Midnapore, West Bengal Andaman and Nicobar Islands Lakshadweep Islands Adventure Tourism Skiing in Manali, Himachal Pradesh River rafting and kayaking in Himalayas Mountain climbing in Himalayas Rock climbing in Madhya Pradesh

Skiing in Gulmarg or Auli Boat racing in Bhopal Paragliding in Maharashtra

A Country Forever... A Story Forever With Tourism being one of the foremost avenues to put India on the global map, i t is heartening to see that the Travel and Tourism Competitiveness Report of 200 9 from the World Economic Forum, has ranked India as 11th in the Asia Pacific re gion and 62nd overall, moving up three places on the list of the worlds most attr active destinations. It also ranked 14th best tourist destination for its natura l resources and 24th for its cultural resources, owing to many World Heritage si tes, rich flora and fauna, and strong creative industry. The Indian tourism indu stry ranked 5th in long-term growth and the report also expects it to become the second largest employer in the world by the year 2019. The Tourism Ministry has claimed that tourism in India has already started showi ng signs of early recovery from the impact of global economic meltdown and in De cember 2009 tourists arrivals grew substantially by 21% registering a growth of over 8% over the arrivals in December 2007 which was actually a year of high gro wth. In spite of the global economic recession in 2008 and 2009, the Indian economy h as continued to have good growth. Indias GDP in 2008-09 grew by 6.7%. During April-September, 2009 Indias GDP has seen a growth of 7%, whereas the glob al economy is estimated to have a negative growth in 2009. The quantum jump in F oreign Direct Investment (FDI) in the Hotel & Tourism sector in the year 2008 an d 2009 is also indicative of the positive scenario. Indicating a turnaround, foreign tourist arrivals into the country grew by 21 pe rcent in December 2009, over the corresponding month in 2008. However, it had fa llen by 3% for the entire year of 2009 due to the meltdown, H1N1 scare and the M umbai terror attacks. Foreign Tourist Arrivals 2009 Estimates of foreign tourists arrivals (FTAs) and foreign exchange earnings (FEE s) are important indicators of the tourism sectors. FEEs in USD terms during the month of November 2009 were USD 1.2 billion as compared to USD 1 billion in Nov ember 2008. FTAs during 2009 were 5.11 million with a growth rate of (-) 3.3% as compared to the FTAs of 5.28 million and growth rate of 4% during 2008. Though the growth rate for 2009 is (-) 3.3%, it is better than UNWTOs projected g rowth rate of (-) 6% to (-) 4% for the world. FTAs during the Month of December 2009 were 6.46 lakh as compared to FTAs of 5.3 4 lakh in December 2008 and 5.97 lakh in December 2007. Foreign Exchange Earnings 2009 FEEs in Rupee terms during 2009 were Rs. 54960 crore as compared to Rs. 50730 cr ore in 2008. The growth rate in FEEs in Rupee terms during 2009 was 8.3% as compared to 2008, and 14.4% during 2008 as compared to 2007. In spite of the negative growth rate of 3.3% in FTAs, FEEs in rupee terms observ ed a positive growth rate of about 8% during 2009. FEEs during 2009 were USD 11.39 billion as compared to USD 11.75 billion during 2008. The growth rate in FEEs in USD terms during 2009 was (-) 3% as compared to 2008, and 9.5% during 2008 as compared to 2007. FTAs in January 2010 FTAs during the month of January 2010 were 4.91 lakh as compared to FTAs of 4.22 lakh during the month of January 2009 and 5.12 lakh in January 2008. There has been a growth of 16.4% in January 2010 over January 2009 as compared t

o a negative growth of 17.6% registered in January 2009 over January 2008. FEEs in January 2010 FEEs during the month of January 2010 were Rs. 5593 crore as compared to Rs. 459 8 crore in January 2009 and Rs. 5438 crore in January 2008. The growth rate in FEEs in Rupee terms in January 2010 over January 2009 were 21 .6% as compared to (-) 15.4% in January 2009 over January 2008. Government Initiatives Realising that the true potential of tourism lies in responsible practices on bo th the demand and supply sides of the tourism chain, the Ministry of Tourism has adopted the sustainable tourism route and incorporated it into the innovative Rur al Tourism Project. Projects and Sanctioned Budgets Development of tourism is primarily undertaken by the State Governments/Union Te rritory Administrations and the Ministry of Tourism provides financial assistanc e for tourism projects based on the proposals received from them subject to avai lability of funds and priority. The Tourism Ministry had sanctioned numerous projects across the nation for enha ncing the tourism infrastructure; many of them were sanctioned during the year 2 009. Future Potential The World Travel and Tourism Council (WTTC) along with its strategic partner Oxf ord Economics conducted the Tourism Satellite Accounting (TSA) research in March 2009. In accordance with this latest released research, the future of Indian To urism has some bright prospects. The demand for tourism in India is expected to grow by 8.2% between 2010 and 201 9 which will place India at the third position in the world. Indian tourism is expected to employ over 40 million people by 2019. Capital investment in Indias travel and tourism sector is expected to grow at 8.8 % between 2010 and 2019. The research report forecasts India to get capital investment worth USD 94.5 bil lion in the travel and tourism sector by 2019.

6.3 The various segments (structures) within tourism are: Medical Tourism It is one of the fastest growing segments in India. India has been able to lever age on certain advantages it has over other countries like highly skilled doctor s, cost effective treatment, improved quality of private healthcare etc. Some of the common treatments for which overseas patients to come to India are heart su rgery, knee transplant, cosmetic surgery and dental care. India s traditional re juvenation therapy like yoga and ayurvedic therapy are also becoming popular. Eco Tourism It is relatively new segment in India. It involves visiting natural areas withou t disturbing the fragile ecosystem. Eco tourism generates wealth for the local p eople, who in turn take measures to conserve and protect the environment and nat ural resources. India with its natural diversity is one of the pristine places i n the world for eco tourism. The Himalayan region, Kerala, Northeast, Andaman an d Nicobar Islands and Lakshadweep islands the Western and Eastern Ghats are some of the hot spots for eco tourism in India. India has some of the best wildlife reserves in the world, rich in flora and fauna. Heritage Tourism Heritage tourism is a very lucrative segment in India. It is widely believed it would emerge as the most important segment within tourism in terms of revenue ge neration by 2010.India has a rich cultural history and reflection of its gloriou s past is still visible in its numerous forts, monuments, palaces, places of wor ship etc. Heritage tourism itself can be further classified as colonial heritage

, urban renewal, religious tourism, industrial heritage and ethnicity. The India n government must show keen interest in preserving the heritage sites from a tou rism perspective. Adventure Tourism India s varied geographical and climatic conditions offer excellent opportunity for adventure sports. In recent times the popularity of adventure tourism has in creased. Adventure sports like river rafting, rock climbing, mountaineering, tre kking, skiing, snow climbing, scuba diving and angling can be undertaken in the country and the country offers multiple locations to choose from. The trans Hima layan region, the Garhwal and Kumaon mountains, the Western Ghats, deserts of Ra jasthan, Andaman and Lakshadweep islands are some of the most popular destinatio n for adventure tourism.

7. Industry Players 7.1 Thomas Cook India Ltd. Company Information Thomas Cook (India) Ltd. is the largest integrated Travel and Travel related Fin ancial Services Company in the country offering a broad spectrum of services tha t include Foreign Exchange, Corporate Travel, Leisure Travel, and Insurance. The Company launched its Indian operations in 1881 and is celebrating its 127 years of world-class service in India. Thomas Cook (India) operates in the following areas of business, namely: Leisure Travel, Corporate Travel Management, MICE, Fo reign Exchange, SWIFT Network, Travel Insurance, Credit Cards, Pre-Paid Cards, L ife Insurance and E-Business. Post March 31st 2008, Thomas Cook (India) Limited (TCIL) is a part of Thomas Coo k Group plc UK (TCG). On March 7th 2008, TCG announced its decision to acquire T CIL from Dubai Investment Group. Thomas Cook Group plc is one of the largest tra vel groups in the world with a market capitalization of approximately US$6 Billi on. In June 2006, Thomas Cook (India) acquired LKP Forex Limited and Travel Corporat ion (India) Pvt. Ltd. (TCI). TCIL presently operates in over 72 cities across over 180 locations. The company has overseas operations in Sri Lanka which is a branch of TCIL and Mauritius wh ich is a subsidiary of Thomas Cook (India). The Company employs over 2,200 resou rces and is listed on both the Bombay Stock Exchange as well as the National Sto ck Exchange. Thomas Cook (India), over the years has received several prestigious awards such as the Golden Peacock Award for excellence in Corporate Governance and the Paci fic Asia Travel Association (PATA) Golden Award for Best Travel. Recently, the C ompany won the Best Tour Operator at the CNBC Awaaz Travel Awards 2008 and was a lso accredited the P1 rating which is the highest financial rating given by Cris il. Founded in 2007 Headquarters in Peterborough, England, UK Key people are Thomas Middlehoff (Chairman), Michael Beckett (Deputy Chairman), Manny Fontenla-Novoa (CEO) IT is a travel industry Its products are Package Holidays Employees are 31000

7.2 SOTC - India s Leading Tour operator SOTC is Kuoni India s key outbound travel brand. SOTC, Indias largest outbound to ur operator was acquired by Kuoni Travels - World s leading premium Tour Operato r in the year 1996 and is a leader in all segments, namely Escorted Tours, Free Individual Travel, Special Interest Tours and Domestic Holidays amongst others. Till date, SOTC has escorted over 4 lakh passengers across the globe to various destinations including Europe, USA, Australia, New Zealand, Far East, Africa and many more. They have served travelers for years and won their smiles and hearts. SOTCs vast array of holiday services is taking holidaying to an entirely new level. SOTC has been voted "Best Outbound Tour Operator" five times in a row by the Gal ileo Express Travel & Tourism Awards Committee. The company has not only fully utilized the existing market potential but has al so created new markets through innovative packages namely BhramanMandal brand whic h is dedicated for the Marathi speaking population and Gurjar Vishwadarshan b rand that is dedicated for the Gujarati speaking population. SOTC Corporate (MICE) tours offer the following services to customers: Research and development of complete program Identification and reservation of location Venue and accommodation selection Planning, organisation and equipping of location area Contracting and negotiation of services Organisation of pre and post tour programs, spouse programs, social programs and arrangements for accompanying guests Specialized exclusive theme dinners Audiovisual recording of the event Shows and special entertainments Special evening venues Transportation - meet and greet services during all arrivals Security Visa application services SOTC Trade Fair Tours SOTC Trade Fair Tours is a division that caters exclusively to the needs and req uirements of the keen businessman visiting or exhibiting in International trade fairs. Increase in the number of Indian participants & visitors to various Internationa l exhibitions to compete at a global level confirm huge potential for Group Outb ound Travel. In the past few years SOTC Trade Fair Tours has successfully organi sed delegations to various International trade fairs, which has helped in creati ng awareness and earning a reputation in the market. The efforts and strength in offering the best quality services have been recognized by the Indo German Cha mber of Commerce , Industry Associations and International Exhibition Organizers , etc by appointing SOTC Trade Fair Tours as their exclusive official agent in I ndia. SOTC Trade Fair Tours has given a new dimension to the trade fair visitors by providing value added services such as confirmed accommodation during the fa ir period, Indian meals, option to pay in easy monthly installments, factory vis its etc - all this and more at extremely attractive and competitive prices. 8. Medical Tourism as an Industry Medical tourism is actually thousands of years old. In ancient Greece, pilgrims and patients came from all over the Mediterranean to the sanctuary of the healin g god, Asklepios, at Epidaurus. In Roman Britain, patients took the waters at a shrine at Bath, a practice that continued for 2,000 years. From the 18th century wealthy Europeans travelled to spas from Germany to the Nile. In the 21st centu ry, relatively low-cost jet travel has taken the industry beyond the wealthy and desperate. The reasons patients travel for treatment vary. Many medical tourists from the U nited States are seeking treatment at a quarter or sometimes even a 10th of the cost at home. From Canada, it is often people who are frustrated by long waiting times. From Great Britain, the patient can t wait for treatment by the National Health Service but also can t afford to see a physician in private practice. Fo

r others, becoming a medical tourist is a chance to combine a tropical vacation with elective or plastic surgery. And more patients are coming from poorer countries such as Bangladesh where trea tment may not be available. Countries that actively promote medical tourism include Cuba, Costa Rica, Hungar y, India, Israel, Jordan, Lithuania, Malaysia and Thailand. Belgium, Poland and Singapore are now entering the field. South Africa specializes in medical safari s-visit the country for a safari, with a stopover for plastic surgery, a nose jo b and a chance to see lions and elephants. 9. Medical Tourism in India Medical Tourism (also known as Health Tourism, Medical Travel) is about travelli ng to a foreign country for medical treatment. It involves the benefit of cost e ffective treatment, private medical care in collaboration with the tourism indus try. The concept of Medical Tourism is fast catching-up in India where people fr om any part of the world travel to the country for the purpose of medical treatm ent and get the dual benefit of travelling and sightseeing to various parts of I ndia. Medical Tourism is a growing concept in India because of various reasons. Much o f it depends upon factors those are: Low cost surgeries and medical treatments such as complex Bone Marrow transplant , liver transplant, kidney transplant, specialized cardiac/heart surgery, surger ies for hip joint replacement, knee joint replacement, dental surgery, and cosme tic surgeries, to mention a few. All these surgical procedures are carried out b y expert doctors. India has various state-of-the-art medical institutes and hospitals of internati onal standards. People all around the world are eager to see the diversity and unity of India. S o, when they get the advantage of medical treatment along with a dual advantage of getting to travel India, they choose India over others. Comparatively the cost of surgery in India is estimated to be one-tenth of that in the United States or Western Europe, and sometimes even less. A heart-valve r eplacement that would cost $200,000 or more in the US, for example, goes for $10 ,000 in India--and that includes round-trip airfare and a brief vacation package . Similarly there are other such surgical procedures that cost less in India. Chennai (formerly known as Madras), the capital city of the Indian state of Tami l Nadu, has been declared India s Health Capital, as it nets in 48% of health to urists from abroad and 37-41% of domestic health tourists.

9.1 Booming Medical Tourism in India Medical tourism in India has emerged as the fastest growing segment of tourism i ndustry despite the global economic downturn. High cost of treatments in the dev eloped countries, particularly the USA and UK, has been forcing patients from su ch regions to look for alternative and cost-effective destinations to get their treatments done. The Indian medical tourism industry is presently at a nascent s tage, but has an enormous potential for future growth and development. We have also found that India represents the most potential medical tourism mark

et in the world. Factors such as low cost, scale and range of treatments provide d by India differentiate it from other medical tourism destinations. Moreover, t he growth in Indias medical tourism market will be a boon for several associated industries, including hospital industry, medical equipments industry and pharmac eutical industry. In addition to the existence of modern medicine, indigenous or traditional medic al practitioners are providing their services across the country. There are over 3,000 hospitals and around 726,000 registered practitioners catering to the nee ds of traditional Indian healthcare. Indian hotels are also entering the wellnes s services market by tying up with professional organizations in a range of well ness fields and offering spas and Ayurvedic massages. Our comprehensive report also provides a deep insight into the Indian medical to urism market and evaluates the past, present and future scenario of the medical tourism market. It discusses the key factors which are making India an attractiv e medical tourism destination. Both statistics and trends about market size, tou rist arrivals, infrastructure, accreditations, drivers and restraints have been thoroughly discussed in the report.

9.2 Emerging Trends of Medical Tourism in India Medical tourism was a silver lining for those millions of Uninsured, underinsure d and those who were forced to postpone treatments due to long waiting lists. W hat seemed like a boon to patients from Western countries like US, UK and Canada is now a twilight of hope for those countries who are deemed as Medical Tourism hubs. In popular medical tourism destinations like India, Singapore and Thaila nd, Medical Tourism is a fast growing industry where millions of dollars are bei ng pumped in rigorously. In order to cope with the growing demand for medical care, hospitals, medical pr actitioners and even governments have taken measures to promote health care in I ndia. When it comes to health care, safety is the foremost concern. The hospitals in India are well equipped with the latest technology and houses highly qualified a nd experienced staff who can provide timely and quality medical treatment to pat ients. As a move in promoting medical tourism, many hospitals are deemed as corp orate hospitals that specially cater to the needs of medical tourists in India. Apart from offering world class treatments, they offer various services that mak e medical tourists stay in India hassle free. Many hospitals in India have inter national accreditations that certify the quality of health care service. Indian Government has acknowledged the growth of medical tourism in India and is now offering Medical Visas. The initial period for a medical visa may be up to a period of one year or the period of treatment whichever less, which can be ex tended for a further period up to one year be the State Government/ FRROs on the production of medical certificate/ advice from the reputed/ recognized/ special

ized hospitals in the country. Any further extension will be granted by the Mini stry of Home Affairs only on the recommendations of the State Government/ FRROs supported by appropriate Medical documents. Such visa will be valid for maximum three entries during one year. India is a big player in the medical tourism industry. In fact, it has been ran ked the most popular medical tourism destination by many. Apart from the contri bution of government and hospitals in improving the health care service in India , what truly gives that edge to India over other medical tourism destinations is the innumerable rejuvenation options it offers and the easiness of stay in Indi a. India is the birth place of Yoga, which is one of the most popular forms of exer cise and rejuvenation today. There are almost an infinite number of Spa and rej uvenation centers in India that could uplift the mood and enhance health of medi cal tourists. India is a tourists paradise and when in India for medical treatme nt, tourism comes as a co-benefit of medical tourism. Unlike other exotic desti nations in the world, it is surprisingly easy to commute, stay and converse in I ndia. People in India are extremely warm and have a sound command over English. All these factors make India the sought after destinations for medical touris m and India is now equipped to cater to the fast growing demand for health care in India. A new report, "Booming Medical Tourism in India, provides an insight into the Ind ian medical tourism market. It evaluates the past, present and future scenario o f the Indian medical tourism market and discusses the key factors that are makin g India a favorable medical tourism destination. Both statistics and trends rega rding market size, tourist arrivals, infrastructure, accreditations, drivers and restraints have been thoroughly discussed in the report. The research suggests that India represents the most potential medical tourism m arket in the world. Factors such as low cost, scale and range of treatments prov ided by India differentiate it from other medical tourism destinations. The grow th in Indias medical tourism market is expected to serve as a boon for several as sociated industries including hotels, medical equipment and pharmaceuticals.

9.3 Government Plans for Attracting Medical Tourism to India To promote growth in the Indian medical travel industry, the Indian government h as plans to improve health infrastructure. The government is currently in the p rocess of increasing the number of hospitals, clinics, and clinical laboratories in urban as well as rural parts of the country. Incentives and tax holidays are being offered to hospitals and dispensaries providing health travel facilities. The Indian medical travel and health care sector offers plenty of opportunitie s for businessmen, medical equipment manufacturers, healthcare service providers , and tourist agencies, and the government is encouraging them to invest in ther apeutic and preventive health services so as to increase medical travel to India . The government has published analytical reports on the available opportunities in the Indian health care industry so corporate houses can make informed decisi ons regarding the Indian medical tourism sector.

9.4 Expansion of Medical Tourism in India There are several characteristics that make India an appealing destination for v isitors seeking health services. These include its well-trained health practitio ners; a large populace of good English speaking doctors, guides and medical staf f; availability of super-specialty centres that excel in cardiology and cardio-t horacic surgery, joint replacements, transplants, cosmetic treatments, dental ca re, orthopaedic surgery and more; hospitals that provide the full gamut of healt h services which include full body pathology, comprehensive physical and gynaeco logical examinations, echo Doppler, high strength MRI etc. using latest, technol ogically advanced diagnostic equipments; and finally, and more importantly the a vailability of these premium services at prices that are extremely reasonable fo r the foreign tourist. In fact, the competitive cost of medical treatment in India has been the main ca talyst for the growth of medical tourism in the country. The costs of comparable treatment in India are on average one eighth to one fifth of those in the West. For instance, a cardiac procedure costs anywhere between US$ 40,000 - 60,000 in the United States, US$ 30,000 in Singapore, US$ 12,000 - 15,000 in Thailand and only US$ 3,000 - 6,000 in India. Likewise, the associated costs of surgery are also low. India also has the potential to emerge as a hub for preventive health screening in view of the availability of low-cost diagnostic tests. At a private clinic in London a health check-up for men that includes blood tests, electro-cardiogram tests, chest X-Rays, lung tests and abdominal ultrasound costs around 350. In com parison, a comparable check-up at a clinic operated by Delhi-based healthcare co mpany Max Healthcare costs US$ 84. A Magnetic Resonance Imaging (MRI) scan costs US$ 60 at Escorts Hospital in Delhi, compared with roughly US$ 700 in New York. A study done by the India Brand Equity Foundation (IBEF) in 2004 showed that Ind ia is more cost-competitive as compared to other leading medical tourism destina tion like Thailand. Thailand has a cost advantage over India in only two categor ies: plastic surgery and breast augmentation. India is cheaper than Thailand acr oss a whole range of otherand more serious surgery categories as the following ch art indicates. Surgery Thailand India Bone Marrow Transplant US$ 62500 US$ 30000 Liver Transplant US$ 75000 US$ 40000 Open Heart Surgery (CABG) US$ 14250 US$ 4400 Hip Replacement US$ 6900 US$ 4500 Knee Surgery US$ 7000 US$ 4500 Hysterectomy US$ 2012 US$ 511 Gall Bladder removal US$ 1755 US$ 555 * cost in US$ The health services in India have the additional advantage of providing a good m ix of allopathic and alternative systems of medicine. For instance, while New De lhi has emerged as a prime destination for cardiac care; Chennai has established a niche for quality eye care; Kerala and Karnataka have emerged as hubs for sta te-of-the-art ayurvedic healing. The scope for profit in this sector has encouraged several large corporations, s uch as pharmaceuticals and industrial companies, and several non-resident Indian s (NRIs) to invest money in setting up super-specialty hospitals such as Apollo, Medinova, CDR, Mediciti in Hyderabad; Hindujas and Wockhardt in Mumbai; Max, Es corts, Apollo in Delhi etc.8 These facilities now dominate the upper end of the private sector and cater predominantly to medical tourists and affluent sections of the society. These establishments have created a niche job market for health professionals predominantly trained in public sector institutes. Even the Government of India has responded promptly to tap the potential of this sector. In its effort to capitalize on this opportunity the Government has unta ken measures to promote India as a global health destination. The National Health

Policy 2002 strongly encourages medical facilities to provide services to users from overseas. It states that providers of such services to patients from oversea s will be encouraged by extending to their foreign exchange, all fiscal incentiv es, including the status of deemed exports, which are available to other exporters of goods and services. The Indian Ministry of Tourism has started a new category of visas for the medic al tourists. These visas called the M or medical-visas are valid for one year but can be extended up to three years and are issued for a patient along with a comp anion. Efforts have also been undertaken to improve the airport infrastructure t o ensure smooth arrival and departure of the health tourists. A brochure of the ministry predicts a phenomenal expansion of the Indian health-care industry in the coming years. These factors have favored the recent spurt of growth of medical tourism in Indi a. Official figures indicate that medical tourists from 55 different countries c ome to India for treatment. While most of these patients are from developed coun tries, India is also seeing a surge of patients from countries in Africa and Sou th and West Asia that lack adequate healthcare infrastructure. Among others, for eign health travelers to India comprise of a large number of non-resident Indian s (NRIs). If the present trend continues trade in health and health-services wil l become one of the biggest sectors in India. However, there are several challen ges that could impede the growth of medical tourism in India, more importantly t he growth of this sector poses a threat to the already crippled public health sy stem in India. Kerala Medical Tourism Kerala is not only a beautiful destination in Southern India known for its sceni c beaches and serene backwaters. Of late Kerala has gained international attenti on for Medical Tourism and is becoming a popular international medical tourism d estination. Kerala is famous for its alternative medical therapies such as Ayurveda, which h elp to rejuvenate and revitalize the body. What many tourists have now discovere d is that Kerala has a pool of trained doctors and nurses and an excellent netwo rk of hospitals that offer international standard treatments at very affordable prices. Previously Indians working abroad, such as residents of Kerala working i n the Persian Gulf countries, would return to India for medical treatment. Now I nternational patients too have realized the advantages of traveling to Kerala an d the medical tourism industry has begun to take off in a big way. Faced with exorbitant fees for procedures such as cardiac surgery, dentistry and cosmetic surgery in their home countries, patients from the West and the Middle East have begun looking at India and Kerala in particular. Indian doctors have established themselves as highly skilled and conscientious c aregivers worldwide. Many doctors who have trained or worked abroad have returne d to India to work here. Their reputation has led to the growth of the Medical T ourism industry in Kerala. Kerala Travel Tourism offers tour packages that combi ne medical treatment with a restful holiday in Kerala India. The world-class hos pital facilities, pre and post-operative care and pleasant climate make your med ical treatment and recovery in Kerala a positive experience. Some Medical Touris m options in Kerala are given below. 10. Medical Tourism Companies HelloMD.com Advent Medical Services group is a leading medical service provider based in Ind ia with accomplished and distinguished physicians and surgeons with a vast exper ience in variety of disciplines including cardiothoracic surgery cosmetic and pl astic surgery, laparoscopic surgery, endoscopic surgery, microsurgery, joint rep lacements and highly advanced form of ophthalmic and ear surgery. web site url : http://www.hellomd.com Indicure Indicure is a limited company in New Delhi, India founded by a group of medical and management professionals with an objective to provide customised patient car e management services in India for medical tourism, health care tourism and home

health care services. web site url : http://www.indicure.com/ JD Healthcare Located in British Columbia on the west coast of Canada, JD Healthcare and its p artners have been providing healthcare to patients worldwide for over two years. With strong ties to the global pharmaceutical industry, Company the pleasure of assisting countless thousands around the world who can barely afford to put foo d on the table, let alone pay hundreds of dollars in medical bills every month. web site url : http://www.jdhealthcare.com

Medical Tourism in India - Erco Travels Erco Travels provides Dental Care Packages, Eye ( Refractive ) Care Packages, He art Care Packages, Heart Surgery Packages, Cosmetic Treatment Packages, Orthopae dic Surgery Packages and Health Check Up along with other tourism packages. web site url : http://www.medicaltourismindia.com Med In India Med In India provides professional, caring and comprehensive services to Medical Tourists looking for medical treatments (and tourist package) in India. Its ser vices help you choose a treatments which are scheduled at your convenience and t hat too at an affordable cost. It includes surgery of heart, hips and joints and cosmetic surgery and likewise many such other treatments. web site url : http://www.medinindia.com Mediscapes India Mediescapes India offers several invasive to non-invasive medical treatments at our partner super - specialty medical treatments facilities in India combined wi th recuperative holiday package show-causing the real India. The surgeries and n on - invasive medical treatments offered by its partner hospitals and clinics in India are vast and varied, ranging from Cardiac surgery options to Renal Transp lant as well as BMT, Cosmetic surgery to Dental, Refractive to Birmingham Hip Su rgeries, Ayurveda, Naturopathy to Yoga and last but not least mental to spiritua l rehabilitation as well as complete diagnostic lab procedures in several worldclass Indian medical institutions of repute having International accreditations. web site url : http://www.mediescapes.com Medi Tours Meditours, based in Kelowna, British Columbia was started as a company to assist those people in need of immediate health remedies specifically those requiring hip and knee replacements. After visiting state of the art medical facilities in the resort area of Trivandrum in the south of India, and realising the need for these services given the long waiting lists and expensive hospital bills in mos t countries, they are now offering the same level of medical services with accom modations in 5 star hotels for recuperation for about about the same price as ju st the surgery in their own country. web site url : http://www.meditours.org Sahaj Dental Clinic Offers a great opportunity to experience Mystic India with World Class Dental Tr eatment. Here you can Save & Enjoy, both. web site url : http://www.sahajdental.com Serena Spa Serena Spa, a haven of peace & tranquillity set against the ambience of natural beauty, for those who wish to relax, restore and rejuvenate, body mind and spiri t. A paradise filled with exotic aromas, essential oils, spice and floral fragra nces, designed to enhance and optimise the total mind - body experience.

web site url : http://www.serenaspa.com

11. Gujarat: A Global Health Destination Promoting Medical Tourism in Gujara t As part of its Navratri Celebrations Vibrant Gujarat 2006, the Government of Gujar at took the opportunity to promote its world-class medical facilities and medica l expertise making Gujarat as a destination for medical tourism for Non Resident Indians. Concept of Medical Tourism includes combining Healthcare with tourism potential an d offering the Best of the East and the West under one roof. Indias emergence as the preferred Global Healthcare destination has attracted pat ients from the globe to come to India particularly Gujarat for treatment which i s estimated to contribute 25-31 % of the industry earnings of one hundred thousa nd crores. The Gujarati community comprises of 32% of the total 20.1 million peo ple of Indian origin worldwide. According to a study by Confederation of Indian Industry (CII), India has a comp etitive edge especially its cost advantage. The Cost of Medical treatment in India is less th an 1/3rd of that in many European and US Hospitals. Gujarats medical expertise and the strength of its facilities are better than tho se of some of the south-east Asian nations and Gujarat hospitals are trying to d o lot harder selling abroad. They are seeking to achieve this by measures such as: Creating centre of excellences in the respective fields Quality stamp through accreditation from global certification agencies such as J CI Developing a network Customised Packaged are available There was a one mega event organized during the nine days of Navratri; an exhibi tion on medical tourism where leading hospitals of the state had an opportunity to show their facilities and service packages. The Exhibition: The Governor, H/E Navalkishor Sharma, inaugurated the exhibition. The exhibition was from 23rd September to 1st October. The hospitals such as Apollo, Sterling Hospital, Bankers Heart Hospital, J. S. Ayurvedic Hospital, G.E. Health Care, Fo rtis Hospital, Rajasthan hospital, and the Cardiology, Kidney and Cancer institu tes from the Civil Hospital campus participated in the exhibition enthusiastical ly. The exhibition also promoted Indian Systems of Medicine specifically, Ayurve da, Naturopathy and Yoga. The focus areas for medical tourism have been derived from the fact that there a re waiting lists in various specialties for both inpatients and outpatients, any thing between three weeks to one year in hospitals in UK and USA. Many hospitals in Gujarat have experience in providing services to the NRGs and according to t hem the potential areas for Gujarat would be: Cardiology Renal transplantation Carcinoma Dental care Cataract Restructuring plastic surgery Wellness and screening Programme In Vitro Fertilization Holistic care through Indian Systems of Medicine. Planning for medical tourism ahead. The Government of Gujarat sees this occasion as a beginning for making Gujarat a

Global Health Destination. The long-term plans include: Establishing a Medical tourism council M.O.Us with private hospitals for provision of high quality health care. Introduction of Nursing Home Act Accreditation of service providers so that quality services are assured. Medi City Opportunities for private participation in public hospitals Investments in Capacity Building Schools of Public Health and Hospital Managemen t 12. Major Hospitals in Ahmedabad and Vadodara 12.1 Apollo Hospital The Story of Apollo Hospitals is intrinsically tied to the story of Dr. Prathap C. Reddy, the founding Chairman. His wondrous journey from rural Andhra Pradesh to architecting modern healthcare in India is synonymous with Apollos sweeping ac hievements in making India a global healthcare hub. He had settled down to a flourishing practice in USA, when the pangs of an unfin ished dream started. These pangs continued to gain ground, strong and silent unt il that one day, when Dr. Reddy realized that he was consumed by the overwhelmin g need to lay the foundation for his vision. He moved back to India and started the uphill task of making Apollo Hospitals a reality. Today, Apollo Hospitals gr oup is the largest healthcare service provider in Asia and the third largest in the world. As a group, Apollo has touched and enriched over 20 million lives. Apollo Hospitals started as a 150 bedded hospital in Chennai in 1983. India, in the early 80 s, was not the easiest place for private enterprise. Moreover, priv ate healthcare institutions were unknown and they were not doing cutting edge wo rk. 27 years later it is an amazing story of success, achievement and most impor tantly, dreams realized. As Apollo Hospitals has made colossal strides to reach where it is, more and mor e facets of the founding vision have turned to reality. Today, Apollo group is n ot just one of the country s premier healthcare providers but has also played a pioneering role in helping India become the centre-of-excellence in global healt hcare. The Apollo Hospitals group today includes over 8065 beds across 46 hospitals in India and overseas, neighborhood diagnostic clinics, an extensive chain of Apoll o Pharmacies, medical BPO, health insurance services and clinical research divis ions that are working on the cutting edge of medical science. However, the largest achievement of the Apollo group has been to take quality he althcare to across the length and breadth of India. Of touching 10 million lives and giving hope to an entire segment of the Indian population who did not have an option beyond limited medical infrastructure. Apollo has succeeded in being more than just a quality healthcare provider. It h as been a major player in scripting the medical landscape of the nation. This is primarily because the group has continuously been at the helm of several game-c hanging innovations in Indian healthcare. By the start of the new millennium, Apollo Hospitals group had become an integra ted healthcare organization with owned and managed hospitals, diagnostic clinics , dispensing pharmacies and consultancy services. In addition, the group s servi ce offerings include healthcare at the patient s doorstep, clinical & diagnostic services, medical business process outsourcing, third party administration serv ices and heath insurance. To enhance performance and service to customers, the c ompany also makes available the services to support the business of healthcare, telemedicine services, education & training programs, research services and a ho st of non profit projects. About Apollo Ahmedabad Today Apollo Hospitals group is recognized as the "Architect of Healthcare" in I ndia. Apollo group has a long history of accomplishments with its unique ability of resource management. Apollo Hospitals, Ahmedabad opened in May 2003. A multi-specialty quaternary car

e hospital further strengthens the healthcare infrastructure in Gujarat, setting new benchmarks in quality standards in healthcare delivery. Keeping with the tr adition of delivering healthcare at par with the best in the world, Apollo relie s a great deal on innovation, introspection and improvement to render tender lov ing care to patients. Apollo Hospitals, Ahmedabad provides holistic healthcare that includes preventio n, treatment, rehabilitation and health education for patients, their families a nd clients by touching their lives. International Patients Apollo Hospitals, Ahmedabad, a 400 bedded quaternary care hospital, has an overa ll success rate of 98%. Located just 5 Kms from the Ahmedabad International Airport, the hospital not on ly offers world class healthcare facilities but also has a wonderful serene natu re surrounding it. Built over 10 acres of land, the hospital has 65 ICU beds and is the largest corporate hospital in Gujarat offering world class diagnostic, m edical and surgical facilities. Medical Tourism in India has witnessed an enormous growth and has opened a plent y of opportunities in the private and voluntary sector. Leading the race in attr acting medical tourists to India is Apollo Hospitals, the healthcare powerhouse of India. Traveling from all around the world, medical tourists seek essential h ealthcare services. Apollo Hospitals, Ahmedabad offers superlative services in l ine with international patient care standards and has therefore carved a niche i n the health tourism sector. Arrival at Airport On arrival, patients will be received at the Apollo Medical Centre, a unit of Ap ollo Hospitals, Ahmedabad, by their representative and taken to main Apollo Hosp ital as per the admission plan. They Specialised in: 1. Coronary Angiography & Angioplasty 2. Open Heart Surgery 3. Stem Cell Transplantation 4. Knee Replacement 5. Kidney Transplantation 6. Cosmetic Surgery 7. Paediatric Cardiology 8. Radiation & Surgical Oncology 9. Medical Health Checks

Special Facilities Available Transport services including Airport pickup Foreign exchange support Accommodation for relatives and attendants Communication Center Locker facility International conferencing facility Postage & Couriers Travel Desk Cyber Caf Library Places of Worship Bank ATM Telemedicine Facility: Apollos vision is to provide a successful working model of Telemedicine which sel f-propagates across India and abroad. It will provide a channel for continuous a ccess to the most sophisticated medical support systems at all times. Apollo aim s at extending super-speciality services to remote countries across the globe by proactively using technological developments and imaging techniques to create b enchmark standards in the field of medicine and health.

They have a state of the art telemedicine centre, to cater for needs of all inte rnational patients. 12.2 Shalby Hospital, Ahmedabad. Shalby Hospitals is amongst the league of few hospitals to have received NABH (N ational Accreditation Board of Hospitals) certificate in a short span of time. S halbys NABH journey started in July 2009 as Shalby family organized itself into s mall teams of healthcare professionals taking the daunting task to set systems a nd process documentations in place. From infrastructure & facility management to services & medical management, all teams were aligned with only one focus in mi nd ensuring Better Patient Care & Improved Patient Safety through improvement in quality services offered by the hospital. Shalby Hospital: In pursuit of Quality Health Service Shalby Hospitals provide world class facility and offer a holistic range of medi cal services to patients from across the globe. Shalbys compassionate approach to medical care is patient centric, with multidisciplinary teams of highly skilled medical professionals working together to improve the quality of life for patie nts. Although a multi specialty health care provider, Shalby is particularly ren owned for its high volumes in joint replacement surgeries with more than 16000 T otal Knee Replacement surgeries conducted till date a world record of sorts. At Shalby, they believe it is more important, in these days of patient choice, t o listen carefully to the views of their patients so that they are able to respo nd to their needs. They strive to continually improve the quality of patient ca re, monitoring and measuring the treatments their patients receive and evaluatin g performances against their own as well as industry standards. Shalby is commit ted to providing highest quality healthcare through innovative use of technology across the offered medical specialties, this not only ensures minimizing infect ion rate but also ensures they offer the worlds best services to their patients. Shalby Hospitals is a modern, state of the art 230 bed quaternary care healthcar e centre centrally located in Ahmedabad. The hospital transcends the best of the service standards practiced anywhere in the world and has to its credit the hon or of being one of the preferred destinations for Total Knee Replacement surgeri es. Under the able guidance and leadership of Dr. Vikram Shah who has successful ly performed over 16000 Knee Replacement surgeries (till March 2009). Its world class infrastructure includes: 9 Operation Theatres 3 Class 100 Operation Theatres for Joint Replacement 2 Class 10000 Operation Theatres for Cardiac Surgery 3 General Operation Theatres 1 Dedicated Operation Theatre for Laproscopy and Endoscopy Macquet Operative tables All Operation Theatres have Laminar Airflow to minimize infections Surgeons use space suits as a measure to isolate air-exhaust A-Dec Dental Chairs Root ZX & X Smart for painless Root Canal Therapy Carl-Ziess Optio Surgical Microscope for neurosurgery Dedicated level for International Patients Choice of cuisines Prayer room In-house Travel Desk for air / rail bookings

Shalby Hospitals also offers world class services in the following medical disci plines: Joint Replacement Surgeries (Knee & Hip) Endoscop ic & Laproscopic Surgery Dentistry & Dental Implantology Urology Intervention Cardiology Nephrology Neuro Sciences (Medical & Surgical) Oncoloy (Medical & Surgical)

Ophthalmology Bariatric Surgery Reconstructive Surgery Burns & Plastic Surgery Cosmetic & Aesthetic Surgery

Endocinology (Medical & Surgical) Paediatrics (Medical & Surgical) Trauma & Orthopedic Surgery Intervention Radiology Pain Management

Shalby Hospitals treasures its skilled and efficient manpower in all walks of ho spital services from administration to paramedics to consultants. It is this ver y force which has further advanced their growth as a prominent quaternary care h ospital in the region serving not only Indian patients but also extending its he aling touch to patients from UAE, Qatar, Oman, Syria, Yemen, Uganda, Tanzania, K enya etc.

12.3 Sterling Hospital STERLING ADDLIFE INDIA LIMITED came into existence with effect from 29.12.2000 a s a Limited Company registered with the office of the Registrar of Companies; Gu jarat. Sterling Addlife India Ltd. is a dominant player and premier healthcare s ervice provider in Gujarat. It has become one of the leading regional healthcare companies in India. The philosophy of the company remains to be patient centric , follower of ethical medical practices, and a provider of world class healthcar e to global clientele. Sterling Hospital, owned and managed by Sterling AddLife India Ltd., is the lead ing hospital chain in Gujarat. It is engaged in providing high quality medical a nd surgical care in a host of critical specialties such as Cardiology and CVTS s urgeries, Neurology and Neuro- surgeries, Nephrology and Kidney Transplant, GI M edicine and Surgeries, Hematology, Oncology and Onco-surgery, Critical and Emerg ency Care, Trauma and Orthopedic, Neonatology as well as General Medicine and Su rgeries. Sterling has two multi-speciality tertiary care hospitals, one each at Ahmedabad and Vadodara and three satellite centers, one each at Kalol, Mehsana a nd Himmatnagar. The company has STERLING HOSPITAL, a multi-super speciality hosp ital in Ahmedabad with 310 beds, 7 major operation theatres and 84 ICU beds. The company has also taken over Sterling Hospital, Vadodara which is having all mul ti-super-specialty facilities. Sterling s high quality services attract patients from Gujarat, Rajasthan, Madhya Pradesh, Maharashtra and even from outside the country. Sterling proposes to cross the 1000-bed mark with additional state-of-t he art hospitals planned at Rajkot, Surat and Bhavnagar by 2010. Sterling is als o focused on clinical research and medical education through DNB programs. As a part of Sterling s ambitious growth plans, Actis, the well-known Private Equity Firm, has recently acquired a significant equity stake in Sterling AddLife India Ltd. Sterling has taken up 2 green field projects at Rajkot and Bhavnagar. The estim ated cost of Rajkot project for setting up a 160 bed hospitals is kept at Rs. 75 Crores. The company has acquired a piece of commercial land at Bhavnagar for se tting up a medium sized 120 beds capacity (expandable upto 130 beds) hospital wi th estimated cost of project of Rs. 46 Crores. Corporate At Sterling Hospitals they understand that healthy employees contribute to a hea lthy business. Their healthcare delivery systems are specially designed to suit every employee needs. From wellness and preventive care, to the treatment of illness and rehabilitatio n, they have been pioneers in every link of the healthcare chain. For their empl oyees and their dependents, this means easy access to the most sophisticated med ical facilities.

Doctors Sterling Hospitals has managed to create a world-class healthcare system by inte grating internationally benchmarked medical practices with cutting-edge technolo gy and above all Patient Care . The institute has brought the sharpest, the bri ghtest and the most diligent resources to work together and to deliver finest ca re to its patients. All those health professionals who visualize a synergy with the institute s core values of Service to mankind, Compassion for fellow human beings and utmost In tegrity in all actions , are welcome to be a part of the -Team Sterling. Patients Sterling Hospital, has emerged as a preferred destination for quality medical tr eatment attracting patients worldwide. Given this advantage, Sterling Hospitals has focused its efforts towards being a world-class hospital that exceeds the ex pectations of its patients. With highly advanced medical infrastructure, broad knowledge base, medical exper tise and extensive integration, Sterling Hospital makes an ideal partner for pat ients seeking a more affordable treatment. The hospital offers globally benchmar ked healthcare services administered by surgeons and physicians trained in inter national medical practices. These services include advanced cardiology and cardi ovascular surgery, orthopaedics and joint replacement surgery & Minimally Invasi ve Surgery, Cosmetology, Oncology and Neurology amongst others. International patients Medical Tourism in India has witnessed strong growth in past few years. India is emerging as a preferred destination for international patients due to availabil ity of best in class treatment at fraction of a cost compared to treatment cost in US or Europe. Sterling hospitals has focussed its efforts towards being a wor ld-class hospital that exceeds the expectations of its international patients on all counts, be it quality of healthcare or other support services such as trave l and stay. Sterling hospitals renders superlative services in the lines of Inte rnational Patient Care, and has therefore carved a niche in the Medical Tourism sector. Various medical specialties offered to International patients are: Cardiology Cardio Thoracic & Vascular Surgery Internal medicine Infectious disease management Orthopaedics Orthopaedic Surgery (Total Hip/Knee Replacements, Joint Replacements) Plastic Surgery Cosmetic Surgery Bariatric Surgery (Gastric By Pass Surgery, Gastric Banding etc) Gynaecology & Obstetrics General Surgery Minimal Invasive Surgery Neurology & Neuro Surgery Nephrology (Dialysis) Paediatrics & Paediatric Surgery Pulmonology Renal Sciences (Renal Transplantation) ENT

Centres Sterling Hospital is 310 beds multi-superspecialty hospital, situated in the hea rt of Ahmedabad and Sterling acquired a 110 bed tertiary care hospital in Baroda .

STERLING HOSPITALS are a part of an integrated world-class healthcare facility. They endeavour to go beyond the expected and deliver the most positive experienc e to each of their patients. In this endeavour of their, they are backed by cut ting-edge technology and internationally trained, highly qualified medical profe ssionals, who administer the best-available medical services across all major di sciplines of medicine and surgery. Highlights 1. The pathology department ranked 3rd in India and 10th in world (2006- 07 ) 2. Sterling Hospital has been ranked Best Hospital ( 2007) by IMRB an The We ek magazine Core specialities include: Cardiac Science Gastroenterology Neuro Science Orthopaedics Critical Care Nephrology Oncology. Services 24 x 7 Emergency services Specialized services like Pain clinic, Stroke clinic, Diabetes clinic, Wellness clinic, etc. Basic services like Health Check up & its packages that suit your requirements

12.4 Bhailal Amin General Hospital, Vadodara Established in 1964, BAGH - an ISO 9001:2000 Institute is a 160 bedded premier M ulti-Specialty & Tertiary Care Hospital of Gujarat & has been at the forefront o f ushering in a revolution in health care. From a highly qualified team of docto rs, state-of-the-art medical facilities, to following internationally acclaimed practices, everything at BAGH is aimed at offering the best in health-care. Our warm and sensitive staff, coupled with the green environs, makes your stay at BA GH, a pleasant & comfortable one. It is a Multi-Specialty & Tertiary Care hospital with 6 Operation Theatres & 4 I ntensive Care Units with 24 hours service in Accidents & Emergency, Heart Comman d Center, Radiology including CT Scan, Pathology Lab with Home Collection Servi ce , Blood Bank including Component Separation facility, ICUs, Pharmacy, Mobile ICU, Ambulance, Mortuary service, Medico-Legal cases & Partial Pathological Post mortem. Bhailal Amin General Hospital is truly a "home away from home", where "Patient C are" is "Beyond Compare" BAGH has a tie up with International Health Care Service providers like: INTERNATIONAL SOS OCEANIC HEALTH PLUS

12.5 Centre for Knee & Hip Surgery, Vadodara Centre for Knee & Hip Surgery (CKHS), at Baroda is probably the only unit in Ind

ia, which addresses the entire range of knee-related problems and offers patient s need-based solutions. It has the complete range of treatment facilities for kn ee & Hip problems starting from non-operative solutions to the minimally invasiv e arthroscopic surgical technique extending up to complex procedures like knee a nd hip replacement surgery and Revision knee & hip replacement surgery. This clinic is perhaps the only one of its kind in the entire country to focus j ust on the knee and hip joint. The benefits of having such a clinic are plenty. Some of them are: Under a single roof, a comprehensive range of state-of-the-art infrastructure is available for anything and everything to do with knee and hip related problems. The Centre is able to invest in the best and the latest possible electronic ins trumentation systems for knee & hip surgery which are available in the world, as it just focuses on these joints . It would otherwise be very difficult, if not impossible, to keep on pumping money for updating every area of orthopaedics. The Centre for Knee & Hip Surgery has established itself as a prime centre for m edical tourism in India. They have patients coming from U.K., U.S.A., Kenya, Tan zania, Uganda, Zambia, Australia, New Zealand, Panama Canal, Mauritius, Fiji Isl ands & the Middle East countries. These patients include foreigners and not just Non Resident Indians. Facilities Provided to International Patients: Pick - up and drop-off at the airport. Assisting them in planning their travel. Regular and prompt responses to their queries on phone and e-mails. Arranging for nearby hotel accommodation at special discounted rates for patient s and relatives in 3, 4 or 5 star hotels.

12.6 Baroda Heart Institute and Research Centre, Vadodara Founded on the 11th of March, 2001 the institute is unique by the fact that it i s poised to become the best cardiac care centre in Gujarat and the neighbour ing states. We were born out of the dream concept of providing Single Centre Ma nagement of cardiac ailments. BHIRC offers the highest standards of comprehensi ve cardiac care from basic facilities in preventive cardiology to the most s ophisticated curative technology, supported by thorough professionals, clinicia ns and administrators. The technological advances made in the 20th century have brought scientific ma rvels into our hospitals, these in turn have made an unprecedented demand on hospitals medical services, particularly in areas such as Surgery, Clinical L aboratories and Radiological as well as Cardiac rehabilitation services. Over an d above, visibility of state-of-the-art technology has been made by means o f appropriate lighting, colour, furnishing, noise level, aroma (absence of h ospital smell), visitor accommodation and staff accommodation, maintenance o f high-tech. equipments and high-touch humanity. Facilities Interventional Cardiology The Fully Digital Cardiac Catheterisation Lab from Philips is the heart of this department and is manned by an expert team of DM qualified Interventional Cardio

logists. The Integris H5000 is suspended from the ceiling to provide fro better manoeuvra bility and is equipped with digital subtraction angiography which helps in cardi ac and vascular interventions and uses digital. technology to store and retrieve images, archives all the angiographic data, has a dedicated work station with off line QCA facilities which automatically makes self programmed CDs which can be reviewed later. The combination of these technologies and expertise makes this one of the most s ophisticated and research oriented laboratory in the country. Non Invasive Cardiology (NIC) The Non Invasive Cardiology (NIC) department is equipped with the latest high re solution ultra vision 5500 echo Colour Doppler machine from HP. The facility includes Colour Doppler echo cardiology, multi plane trans-oesophag eal echocardiography, and dobutamine stress echocardiography. We are also the first to have myocardial contrast echocardiography in India. Add ed to that, acoustic quantification and colour kinesis help to overcome many lim itations and add to the accuracy of diagnosis. Bedside intra operative echo colo ur Doppler and TEE are also available. We also possess a computerized cardiac stress test machine from Space Labs with advanced touch screen technology which is used to perform accurate and reproduci ble exercises testing for patients with coronary artery disease. In addition to this, the department is also equipped with the sophisticated Zyme d Holter monitoring system which is used for diagnosis of all kinds of cardiac a rrhythmias. Intensive Coronary Care Unit (I.C.C.U.) Did you know that 30% of patients die following a Heart Attack? This can be avoi ded by having life support systems and other facilities to prevent any emergency following a heart attack. BHIRC now has a 12-bedded Coronary Care Unit equipped with the latest monitoring system networked on the Central Monitoring System and manned round the clock by medical officers and fully trained and dedicated nursing staff. The I.C.C.U. at BHIRC has established a reputation for excellence in cardiac car e in the region. Cardiac Surgery The surgeries performed here are not only restricted to conventional adult and p aediatric surgery. Some of the most advanced and pioneering procedures like Beati ng Heart surgery, minimally invasive or key hole surgery and total arterial revas cularisation are undertaken here. A high standard of care is maintained with the help of dedicated cardiac surgeon s, cardiac anaesthetists, per fusionists and of course high quality nursing care . This is reflected in excellent surgical results obtained at this centre. The dep artment also has a top of the line cardiac surgery theatre equipped with the lat est monitoring system, ventilators, defibrillators, heart lung machine, cold lig hting system and electronically controlled operation table. Paediatric Cardiac Care A total of 150,000 children are born every year with congenital heart disease an d yet less than 2000 manage to be treated. The Surgical department of Baroda Heart Institute & Research Centre aims to clos e down the gap. The paediatric cardiac care department at BHIRC is one of the few centers in the country offering advanced diagnostic and treatment facilities for children with heart diseases. The department is fully geared to perform diagnostic procedures like paediatric echo-colour Doppler studies, TEE, cardiac catheterizations and paediatric interv entions like balloon valvuloplasty, balloon angioplasty, closing defects in the heart using a variety of devices and life saving procedures like atrial septosto mies. All this is backed by the specialized paediatric cardiac care surgical team who

are masters in various congenital heart diseases. Cardiac Electrophysiology Cardiac electrophysiology is a procedure which studies the electrical properties of the heart and evaluates the cause of irregular cardiac rhythm. Curative proc edures like radiofrequency ablation and implantation of AICD are also available at this premier institute. Interventional Radiology The department has high resolution ultrasonography and X-Ray machines, and prov ides top of the line interventional radiology services starting from duplex vasc ular Doppler studies, digital substraction angiography to various therapeutic va scular interventions like angioplasty, stenting and implantation of IVC filters.

Clinical Pathology & Microbiology To provide round the clock clinical pathology and microbiological services to ou t patients and indoor patients of the hospital, there is a top class pathology l ab with fully automated bio-chemistry and haematology equipments. The department keeps an eye to ensure that the hospital environment is infection free at all times. Pharmacy A fully equipped round the clock pharmacy is situated at the hospital which is more than adequate to cater to all the needs of the patients. Cardiac Nursing The nurses at the institute are well qualified and go through vigorous reviewal training to handle cardiac patients, both adult and paediatric, in all aspects o f pre & post operative care, regardless of the whether the patient is stable or in a critical condition.

13. Analysis of The Primary Data

1. o o o o o

From which country you are coming from/ What is your Nationality? United States of America United Kingdom Africa Australia Others

As mention in the Chart, 45 patients came from United States of America, 17 pati ents from United Kingdom, 20 patients from different parts of Africa, 8 from Aus tralia and 10 patients from different countries like New-Zealand, Canada, Maurit ius, Fiji Islands & the Middle East countries. By doing survey of 100 patients, we find that maximum number of patients came fr om United States of America. Another two leading countries are Africa and United Kingdom. Here, we find that Americans are more attracted towards India because they find their relatives and friends in India. We also find that number of Gujarati peopl e who settled abroad is more to come in India for the medical treatment.

2. o o o

For what purpose you are coming to India? Treatment with Tourism Treatment with Shopping Treatment with Social Gathering

As mention in the above charts, the question is regarding purpose to come India, 60% of the patients mention the purpose of treatment with tourism in India. By doing survey of 100 patients, 34% patients came for treatment along with social gatherings. There are only 6% of the patients who came for the purpose of treatm ent with shopping.

3. For which treatment you have come? o Orthopaedic o Ophthalmic o Cosmetic o Cardiac o Neurological o Gastro intestinal o Respiratory system related o Urological o Gynaecological/Obstetrical o Dental o Paediatric o Psychiatric As mention in the chart, most of the patients came to India for the treatment of Cardiac diseases. Another very common disease is of Gastro Intestinal and of Or thopaedic. The diseases of Respiratory System and Dental diseases are also can b e seen among the patients. There were many patients who took treatment for diseases of multiple system. 19 patients were taking orthopaedic treatments which include majorly knee and hip r eplacement surgery. There were 22 Cardiac patients majorly came for Bypass surge ry and Angioplasty. Gastro intestinal diseases also can be seen in more number o f patients. There were 21 patients who were suffering from Gastro Intestinal dis orders which majorly include Laparoscopic Surgery. Respiratory diseases also can be seen in 15 patients. In India Dental surgery is also appreciated by the NRIs . Here we can see there are 12 patients who came for the Dental surgery. As ment ion above in the charts, we find very few patients of other system related treat ment.

4. o o o o o

What are the bases for selecting this Hospital/Doctor? Relatives/Friends Web sites Magazines News papers Television

As mention in the above charts, there are many bases to get information regardin g particular Hospital or Doctor. As mention in the charts 75% patients get infor mation from their relatives or friends. Patients who dont have any relatives or f riends in India could get information from web sites. There are 17% of the patie nts who get information from the web sites. There are very few patients got info rmation from various magazines, News Papers and Television which are 3%, 4% and 2% respectively. Here we found that Positive Word of Mouth can grape more number of customers. 5. Which facilities have attracted you to come here? o Doctors specialisation o Treatment charges o Infrastructures o Accommodation o Hospital administration o Hospitality As mention in the chart, most of the patients attracted towards the Doctors speci alisation and Treatment Charges. There are 46% of the patients who are attracted towards the specialisation of the Doctors and 35% are attracted towards the low cost of treatment. 11% are attracted towards the Infrastructure of the hospital and 3% are happy with the Accommodation facilities of the hospital and 3% with Hospital Administration. There are only 2% of the patients who attracted towards the Hospitality of the Hospital. 6. Give the ranks to following matters. 1 leads to most important for you. o Treatment o Financial expenses o Hospitality o accommodation Here as mention in the chart, 68% of the patients gave their first priority to T reatment, 52% patients gave their second priority to Financial Expenses, 54% pat ients gave third priority to Hospitality and 53% patients gave their last priori ty to Accommodation.

Here as mention in the above charts, we can see the majority of the patients gav e first priority to Treatment followed by Financial Expenses, Hospitality and Ac commodation. 7. o o o o o Are you satisfied with the treatment given here? Highly Satisfied Satisfied Neither satisfied nor dissatisfied Dissatisfied Highly dissatisfied

We have given numbers to find out Mean. Highly Satisfied-1, Satisfied-2, Neutral-3, Dissatisfied-4, Highly Dissatisfied5 Calculation: Mean = [25(1) + 56(2) + 11(3) + 7(4) + 1(5)] / 100 = 203/100 = 2.03 Here, Mean is 2.03, which indicates the most of the patients are satisfied. As mention in the chart, 56 out of 100 patients are satisfied with the treatment taken in India. 25 patients are Highly Satisfied, 11 patients are not in stage of deciding their satisfaction level. They are neither satisfied nor dissatisfie d. 7 patients are not happy with the treatment given by the hospital. So they are d issatisfied and there is only one patient who is highly dissatisfied with the tr eatment.

8. l? o o o o o

How much you are satisfied with the facilities available in this hospita Highly Satisfied Satisfied Neither satisfied nor dissatisfied Dissatisfied Highly dissatisfied

We have given the numbers to find out the Mean. Highly Satisfied-1, Satisfied-2, Neutral-3, Dissatisfied-4, Highly Dissatisfied5 Calculation: Mean = [30(1) + 48(2) + 16(3) + 6(4) + 0(5)] / 100 = 198/100 = 1.98 Here, Mean is 1.98 which is towards 2 which indicates most of the patients are s atisfied with the Facilities given by the hospitals. Here as mention in the above chart, 48 patients are satisfied with the facilitie s available in the hospital. 30 patients are Highly Satisfied. There are 16 patients who are not in the stage to decide their satisfaction leve l regarding facilities available in the hospital. So they are neither satisfied nor dissatisfied. There are 6 patients who are Dissatisfied with the facilities available in the h ospital.

9. o o o

Would you come again here in future if you need any treatment? Yes No Cant say

Here as mention in the above chart, 84 patients show their eagerness to come aga in in the same hospital in future if any need will arise. 10 patients replied negatively and 6 patients are in the dilemma whether they sh ould visit again the same hospital or not if need arise in the future. 14. Findings The survey of the 100 patients who came from outside the India in different Mult ispecialty and super specialty hospitals of Ahmedabad and Vadodara are mostly fr om the United States of America, Africa and United Kingdom. The major purpose to come in India are Treatment, Tourism and Social Gathering. The findings suggest that patients are coming majorly for the cardiac diseases, orthopedic diseases and for gastro intestinal diseases. Patients are also attracted towards the alternative therapy like Ayurveda, Yunan i and Yoga. Most of the patients select the Hospital or Doctors on the bases of the advice o f their relatives or friends and from the web sites. The major attractions for the patients are doctors specialization and low treatme nt charges. Patients gave their first priority to the treatment, followed by financial expen ses, hospitality and accommodation. Most of the patients are satisfied with the treatment and facilities available i n the hospital. Majority of the patients show their eagerness to visit the same hospital again i n the future if there will be any need arise. There are many suggestions from the patients side for the hospitals are, focusing on advertisements as well as establish Yoga and Rehabilitation centers along wi th the major clinical department.

15. Recommendations 1. Here majority of the patients are from US, UK and Africa. So hospital sh ould try to capture the number of patients from other than these country. 2. The majority of the patients are coming for the Cardiac, Orthopaedic and Gastro Enterological diseases, so our hospitals should develop super specialty ward and department to capture more number of patients.

3. Our hospitals should develop alternative therapy ward or department like Ayurveda, Yunani, Spa and Yoga along with the rehabilitation centres. 4. To increase the Advertisement of the Hospitals by using different media. 5. As most of the patients are satisfied with the Treatment and Facilities provided by the hospitals, so hospitals should maintain them. 6. For patients who are dissatisfied with the treatment and facilities, hos pitals should try to know the reasons behind the dissatisfaction. 7. Hospital should reduced the Professional Attitude towards the NRIs patie nts. 8. Increase travel facility for the foreign tourists 9. visa-on-arrival facility for tourists from selected countries. 10. Improve and modernize airport infrastructure and services. 11. Make more and more advertisement by using different medias to capture mo re market shares. 12. Create public awareness about economic and social benefits of tourism. 16. Opportunities 1. India offers vast range of medical treatments from simple dental procedu res to the complex cardiac surgeries. 2. Patients can save 60%-95% of their treatment costs by undergoing treatm ent in India. 3. Wellness tourism, spa, yoga and Ayurveda, has a very bright future in In dia as foreigners are increasingly flocking to India to seek physical and mental healing. 4. In 2007, around 272,000 medical tourists visited India for medical touri sm and brought US$ 656 Million in revenues. 5. Lack of proper hospital accreditation system and inefficient laws agains t malpractice will be the biggest factor limiting the growth of Indias medical to urism Industry. 6. India enjoys a considerable superiority over both Singapore and Thailand as preferred medical destination. 7. The Indian economys steady growth rate is also being reflected in the Ind ian healthcare and medical travel industry. Healthcare and medical health travel are priority areas for India, and the government has increased its budgetary ou tlay for medical travel and foreign investment. Customs duties on the import of medical equipment have been slashed, and special incentives are being offered f or future private healthcare facilities.

17. Glossary Orthopaedic Orthopaedic surgery or orthopedics (also spelled orthopaedics) is th e branch of surgery concerned with conditions involving the musculoskeletal syst em. Orthopaedic surgeons use both surgical and non-surgical means to treat muscu loskeletal trauma, sports injuries, degenerative diseases, infections, tumours, and congenital disorders.

Ophthalmic Ophthalmology is a branch of medicine which deals with the diseases a d surgery of the visual pathways, including the eye, hairs, and areas surroundin g the eye, such as the lacrimal system and eyelids. The term ophthalmologist is an eye specialist for medical and surgical problems. Since ophthalmologists perf orm operations on eyes, they are considered to be both a surgical and medical sp ecialty. Neurological Neurology is a medical specialty dealing with disorders of the nerv ous system. Specifically, it deals with the diagnosis and treatment of all categ ories of disease involving the central, peripheral, and autonomic nervous system s, including their coverings, blood vessels, and all effecter tissue, such as mu scle. The corresponding surgical specialty is neurosurgery. A neurologist is a p

hysician who specializes in neurology, and is trained to investigate, or diagnos e and treat neurological disorders. Paediatric neurologists treat neurological d isease in children. Gastro Intestinal Gastroenterology is the branch of medicine whereby the digesti ve system and its disorders are studied. Diseases affecting the gastrointestinal tract, which includes the organs from mouth to anus, along the alimentary canal , are the focus of this specialty. Physicians practicing in this field of medici ne are called gastroenterologists. Urological Urology is the surgical specialty that focuses on the urinary tracts of males and females, and on the reproductive system of males. Medical professio nals specializing in the field of urology are called urologists and are trained to diagnose, treat, and manage patients with urological disorders. The organs co vered by urology include the kidneys, ureters, urinary bladder, urethra, and the male reproductive organs. Gynaecology/obstetrics - Gynaecology or gynecology is the medical practice deali ng with the health of the female reproductive system (uterus, vagina, and ovarie s). Literally, outside medicine, it means "the science of women". Almost all mod ern gynaecologists are also obstetricians. Paediatrics Paediatrics is the branch of medicine that deals with the medical ca re of infants, children, and adolescents. The upper age limit of such patients r anges from age 12 to 21. A medical practitioner who specializes in this area is known as a paediatrician. The word paediatrics and its cognates mean healer of c hildren.

18. Bibliography Naresh Malhotra. (2009):Marketing Research an Applied Orientation, 5th Edition, p entice hall of India. Phillip Kotler (2010): Marketing Management, 13th edition Pearson Education http://en.wikipedia.org/wiki/Tourism_in_India retrieved on 24th February, 2010 http://www.incredibleindia.org/index.html retrieved on 24th February, 2010 http://indiantourisminformation.com/ retrieved on 24th February, 2010 http://tourism.gov.in/ retrieved on 23rd February, 2010 http://www.medical-tourism-india.com/ retrieved on 23rd February, 2010 http://www.medicalindiatourism.com/apollo-hospitals-india/apollo-hospital-ahmeda bad.html retrieved on 23rd February, 2010 http://www.sterlinghospitals.com/content.php?SecID=2&CatID=10 retrieved on23rd February, 2010 http://www.baghospital.com/ retrieved on 23rd February, 2010 http://www.centreforkneesurgery.com/ retrieved on 23rd February, 2010 http://www.thomascook.co.in/indus/px/indus/home.do retrieved on 23rd February, 2 010 http://www.sotc.in/AboutUs.aspx retrieved on 23rd February, 2010 Best of India, A Country ForeverA Story Forever, The Express group, India Develo pment Series, 10th March, 2010 edition, page number 1 & 3 19. Annexure 19.1 Questionnaire Dear Sir/Madam, As a student of MBA, I am conducting a survey for our academic purpose which is part of our curriculum. I am carrying out a survey for finding out satisfaction level of the patients to find out reasons and parameters based on which patients

are coming from outside India to take treatment. I am intending to find and ana lyse the basic reasons and factors which influence the people to take treatment in India. We assure you that the information provided by you will be used only f or genuine academic purposes and remain confidential. Your responses and efforts are strongly appreciated. 1. o o o o o 2. o o o o 3. o o o o o o o o o o o o 4. o o o o o 5. o o o o o o 6. . o o o o 7. o From which country you are coming from? / Nationality? United States United Kingdom Africa Australia Others For what purpose you are coming to India? Treatment Tourism Shopping Social Gatherings For which treatment you have come? Orthopaedic Ophthalmic Cosmetic Cardiac Neurological Gastro intestinal Respiratory system related Urological Gynaecological / obstetrical Dental Paediatric Psychiatric What are the bases for selecting this hospital/Doctor? Relatives/friends Web sites Magazines News papers Television Which facilities have attracted you to come here? Doctors specialisation Treatment charges Infrastructures Accommodation Hospital administration Hospitality Give the ranks to following matters. 1 leads to most important for you Treatment Financial expenses Hospitality Accommodation Are you satisfied with the treatment given here? Highly satisfied

o o o o 8. l? o o o o o 9. o o o

Satisfied Neither satisfied nor dissatisfied Dissatisfied Highly dissatisfied How much you are satisfied with the facilities available in this hospita Highly satisfied Satisfied Neither satisfied nor dissatisfied Dissatisfied Highly dissatisfied Would you come again here in future if you need any treatment? Yes No Cant Say

10. Over and above satisfactory medical treatment what else you expect from the hospital? ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ____________ 11. What are your suggestions for the hospital? ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ____________ GENERAL INFORMATION: Name: ____________________________________________________________ Gender: M / F Age: _________Yrs. Address: _______________________________________________________________________ ________________________________________________________________________________ __________________________________________________________________________ Educational Qualification: _____________________________________________ Type of employment: Self employed/Service/Business Family size: _________ Number of earning members in the family: __________ Family income (Rs. per Month): (please tick mark the applicable one) 15,000-25,000 ______ 26,000-35000 ______ 36,000-45,000 ______ Above 45,000 ______