Global Speciality Tourism Industry

  • January 2012
  • -
  • Global Industry Analysts

The global outlook series on Specialty Tourism provides a collection of statistical anecdotes, market briefs, and concise summaries of research findings. The report offers an aerial view of Specialty Tourism industry, highlights latest market trends, key growth drivers, and major challenges. Market discussions in the report are amply illustrated with 45 fact-rich market data tables, charts, and graphs. Regional markets briefly abstracted include the United States, Japan, Bulgaria, Finland, France, Germany, Spain, the United Kingdom, Australia, China, India, New Zealand, Singapore, South Korea, Taiwan, Thailand, Argentina, Brazil, Iran, Israel, and South Africa among others. The report also offers a recapitulation of recent mergers, acquisitions, service launches, and corporate developments. Also included is an indexed, easy-to-refer, fact-finder directory listing the addresses, and contact details of 228 companies worldwide.

Table Of Contents




1. INDUSTRY OVERVIEW 1
World Tourism Market - Overview 1
Table 1: Global Current and Future Analysis for Tourism Market
- Annual Revenues in US$ Billion for Years 2010 through 2015 1
Tourism to Witness New Highs in Post-Recession Scenario 1
Specialty Tourism - A Prelude 2
Adventure Tourism - The Fastest Growing Segment of Leisure Travel 3
Adventure Tourism is No More the Young Men’s Pie 3
Expedition Travel - A Growing Market 3
The Bucket List Adventure Travel 3
Declining Brand Loyalty Among Leisure Travelers 4
Medical Tourism - An Overview 4
Table 2: Global Current and Future Analysis for Medical Tourism
Market - Annual Revenue in US$ Billion for Years 2010 through
2015 5
Medical Tourism Drives Demand for Medical Equipment 5
Cosmetic Procedures - The Leading Medical Tourism Segment 5
Evolution Timeline of Medical Tourism 6
Growth Factors 6
Low Medical Costs 6
Table 3: Cost of Various Medical Procedures by Country 7

Table 4: Cost of Various Medical Transplant Procedures when
Patient Brings the Donor by Country 8
Demographics 8
Less Waiting Time 8
Exorbitant Treatment Cost 8
High Success Rates 8
Advanced Medical and Infrastructure Facilities 9
High-Level Room Care 9
Minimal Insurance Cover 9
Inadequate Facilities at Home Country 9
Complementary Services 9
Information Sharing 9
The Role of Accreditation Bodies 10
Table 5: JCI Accredited Facilities by Select Country - Saudi
Arabia, Singapore, Brazil, India, Thailand, Mexico,
Malaysia, and Costa Rica 10
The Influence of Affiliations 11
Top Priorities of Medical Tourists 12
Constraints in Medical Tourism Market 12
Strategies to Address Key Issues 13
Accreditation 13
Joint Ventures 13
Medical Tourism Boosts Hospitality Industry 14
Medical Tourism Promotes Hotel Industry 15
Western Health Experts Not in Favor of Medical Tourism 16
Private Sector Dominates the Healthcare Services Market 16
Increasing Role of Government in Medical Tourism Industry 16
Spas and Hospitals Overlap 16
Dental Tourism: A Burgeoning Market 16
Culinary Travel Gains Momentum 17
Comparison between Asian and Latin American Medical Tourism
Industry 17

2. PRODUCT OVERVIEW 18
Tourism - Introduction 18
Background 18
Classification of Tourism Industry 18
Specialty Tourism 19
Adjectival Tourism 19
A Peek into Select Tourism Types 20
Adventure Tourism 20
Overseas Adventure Tourism 20
Adventure Travel for the Physically Challenged 20
Battlefield Tourism 21
Creative Tourism 21
Dark Tourism 21
Eco-Tourism 22
Background to Eco-tourism 22
Criteria of Eco-tourism 22
Natural Resource Management 23
Guidelines and Education for Eco-tourism Sustainability 23
Sustainability Enhancement Methods 23
Mismanagement in Eco-tourism 24
Environmental Impacts 24
Environmental Hazards 25
Local Communities 25
Threat to Indigenous Cultures 25
Educational Tourism 25
Geo-Tourism 25
Green Tourism 26
Leisure Tourism 26
Mass Tourism 26
Coastal Resort Tourism (Coastal Tourism) 26
Residential Tourism 26
Cruise Tourism 27
Marine and Coastal Tourism: Historical Review 27
Impact of Mass Tourism 28
Environmental Concerns 28
Social Concerns 29
Medical Tourism 29
Historical Background of Medical Tourism 30
Segments of Medical Tourism 30
Dental Tourism 30
Fertility Tourism 30
Who Seeks Out and Where? 30
Hospital Supply Chain and Logistics 30
The Supply Chain Network for an International Patient 31
Logistics Management 31
Procedure of Medical Tourism 31
International Healthcare Accreditation 31
Issues Facing Medical Tourism 32
Care Quality 32
Legal Issues 33
Ethical Concerns 33
Popular Destinations for Medical Travel 33
Space Tourism 34
Historic Review 34
Space Tourists 35
Sub-Orbital Flights 35
Virgin Galactic 35
Space Laws in the United States 36
Spiritual Tourism 36
Sport Tourism 36
Winter Tourism 36

3. MERGERS and ACQUISITIONS 37

4. STRATEGIC CORPORATE DEVELOPMENTS 38

5. SERVICE LAUNCHES 43


A REGIONAL MARKET PERSPECTIVE 45

1. THE UNITED STATES 45
Tourism Industry - Overview 45
Tourism Industry in Colorado Eyes Heritage 45
Key Demographic Facts 45
Table 6: US Current and Future Analysis for Leisure Travel
Market - Annual Expenditures in US$ Billion for Years 2010
through 2015 46
Trends and Issues 46
Time Poverty Strikes Tourism Industry 46
US Medical Tourism Comes Out of Economic Recession 46
Internet Emerges as the Leading Tool for Travel Planning 47
Demand for Online Concierges Grows 47
Local Healthcare Providers Attempt to Promote Domestic
Medical Tourism 47
Employers and Insurers Favor Medical Tourism 48
Family Reunion Travel Spurts 48
Travelers Search for Trusted Travel Information 48
A Peek into Medical Tourism Market 48
US: Losing Out on Price 48
Adopting Real Cost Control 49
Inbound Medical Tourism: A Minor Market 49
Table 7: US Inbound Medical Tourism Market: Inbound Patient
Flow (in Thousands) and Inbound Medical Tourists Expenditure
(in US$ Billion) for the Years 2011 and 2012 50
Outbound Medical Tourism: Inevitable Growth 50
Table 8: US Outbound Medical Tourism Market: Flow of
Outbound Patients (in Thousands) and Spending by Outbound
Medical Tourists (in US$ Billion) for the Years 2011 and 2012 50
Patients Travel in Search of Alternative Treatments 50
Preferred Destinations 51
Growth Factors 51
Domestic Medical Tourism 51
Healthcare Outsourcing - An Overview 52
US Hospitals - Overseas 52
Setting Global Standards 53
Medical Facilitators are in Demand 53
Requirement of Unbiased and Informed Advocacy 53
Assessing Standards of Medical Care at Facility Level 54
Eco-Tourism on the Rise 54
Adventure Travel Market to Grow 55
Table 9: US Current and Future Analysis for Adventure Travel
Market - Annual Expenditure in US$ Billion for Years 2010
through 2015 55

2. CANADA 56
Overview 56

3. JAPAN 57
Overview 57
Japan Displays Lukewarm Response to Medical Tourism 57
Government Intensifies Efforts to Promote Medical Tourism 57

4. EUROPE 59
Tourism in Europe -Overview 59
Tourism in Pre-Twentieth Century 59
Table 10: European Current and Future Analysis for Travel and
Tourism Market - Annual Revenues in US$ Billion for Years
2010 through 2015 60

Table 11: Online Travel and Tourism Market in Europe (2011):
Percentage Share Breakdown by Service Type - Air Travels,
Hotels and other Accommodations, Package Tours, Rail, and
Car Rentals 61
Infertility Tourism Defies Economic Recession 61
Adventure Tourism Market 61
Table 12: European Tourism Market (2010): Percentage
Breakdown of International Arrivals by Region 62
Trends 62
Private Medical Care Tourism Destinations for Westerners 62

4a. BULGARIA 64
Current and Future Analysis 64
Table 13: Bulgarian Current and Future Analysis for Tourism
Market - Annual Revenues in US$ Million for Years 2010
through 2015 64
Tourism Industry - Overview 64

4b. FINLAND 65
Nature Tourism in Finland - An Overview 65

4c. FRANCE 66
Overview 66
Golf Tourism to Shoot Up 66
Spiritual Tourism: Healing Waters of Lourdes 66
Historical Background 66

4d. GERMANY 67
German Medical Tourism - An Insight 67

4e. HUNGARY 67
Overview 67

4f. MALTA 68
Healthcare System in Malta - An Overview 68

4g. POLAND 68
Poland - A Growing Medical Tourism Destination 68

4h. PORTUGAL 69
Healthcare Tourism - A Brief 69

4i. RUSSIA 70
Current and Future Analysis 70
Table 14: Russian Current and Future Analysis for Travel and
Tourism by Category - Personal Travel and Tourism, and Business
Travel and Tourism Markets Independently Analyzed with Annual
Revenues in US$ Billion for Years 2010 through 2015 70
Tourism Industry - Overview 71

4j. SLOVAKIA 72
Overview 72

4k. SPAIN 73
Hospitality and Leisure Industry - Overview 73

4l. TURKEY 74
Turkey - A Key Tourist Destination 74
Medical Tourism Industry in Turkey 74
Table 15: Turkish Current and Future Analysis for Medical
Tourism Market - Annual Revenues in US$ Million for Years
2010 through 2015 75
Growth in Investments 75
Turkey Eyeing Larger Share in European Medical Tourism Sector 76

4m. UKRAINE 77
Overview 77

4n. THE UNITED KINGDOM 78
Leisure Tourism Industry in the UK - A Brief 78
Outbound Medical Tourists - An Overview 78
Table 16: UK Current and Future Analysis for Medical Tourism
Market - Annual Expenditure in US$ Million for Years 2010
through 2015 79

Table 17: UK Medical Tourism Market (2011): Percentage Share
Breakdown of Tourists Traveling Overseas for Medical
Treatment by Treatment Type - Dental, Cosmetic Surgery, and
Other Surgery, Scans and Treatments 79

Table 18: UK Medical Tourism Market (2011): Percentage Share
Breakdown of Tourists Traveling Overseas for Medical
Treatment by Country - India, Hungary, Turkey, Germany,
Malaysia, Poland, Spain, Belgium, and Others 80
Outbound Medical Tourism Recovers 80
Table 19: UK Travel and Tourism Market (2011): Percentage
Share Breakdown of Overseas Visits by UK Citizens by Length
of Stay - 1 to 3 Nights, 4 to 13 Nights, 14 to 27 Nights, 28
Nights, and Nil Stay 80
Grappling with Poor Medical Facilities 81
Table 20: Waiting Time for Select Medical Procedures in the UK 81
Creative Tourism - An Overview 81
Tour Operators Extend Novel Offerings 82
Key Market Segments 82
Educational Tourism - An Overview 82
Key Distribution Channels for Education Tourism Products 83
English Language Tourism - A Niche Market Segment 83
Challenges and Issues for the UK Educational Tourism 83
Outlook 84
Outbound Infertility Tourism Rises 84
Stay Hotels - Overview 84
The Extended Stay Hotels Concept 84

5. ASIA-PACIFIC 86
Asia-Pacific Outshines Other Regions in Tourism Growth 86
Travel Restrictions Divert Middle East Patients to Asia 86
Asia-Pacific: A Key Market for Medical Tourism 86

5a. AUSTRALIA 88
Inbound and Outbound Tourism to Grow 88
Ideal Market for Medical Tourism 88
Table 21: Australian Current and Future Analysis for Medical
Tourism Market - Annual Revenues in US$ Billion for Years
2010 through 2015 89
Eco-Tourism Remains Stagnant in Australia 89

5b. CHINA 90
Tourism Industry - Overview 90
Table 22: Chinese Current and Future Analysis for Tourism
Market - Annual Revenues in US$ Billion for Years 2010
through 2015 90
Medical Tourism in China - A Brief 91
Outbound Tourism Industry 91
China and Italy Ink Agreement to Promote Cultural Tourism 91
Key Statistics 92
Table 23: Chinese Tourism Market (2011): Percentage Share
Breakdown of Star-Rated Hotels by Category - 5-Star, 4-Star,
3-Star, 2-Star, and 1-Star 92

Table 24: Chinese Tourism Market (2011): Percentage Share
Breakdown of Income for Star-Rated Hotels by Category -
5-Star, 4-Star, 3-Star, 2-Star, and 1-Star 92

5c. HONG KONG 92
Hong Kong Emerging as a Dominant Force in Medical Tourism 92

5d. INDIA 93
Tourism in India - An Overview 93
Tourism Sector in India to Witness Growth 93
Table 25: Indian Current and Future Analysis for Travel and
Tourism Market - Annual Revenues in US$ Billion for Years
2010 through 2015 94
Challenges and Opportunities for Indian Tourism 94
Indian Hotel Industry - A Brief 95
Future Perspective 95
Indian Medical Tourism Market - An Overview 96
Table 26: Estimated Cost of Select Medical Procedures in India 96
Table 27: Indian Current and Future Analysis for Medical
Tourism Market - Annual Revenues in US$ Million for Years
2010 through 2015 97
Medical Tourism Industry in India on a Growth Path 98
Hip Resurfacing Procedure Boosts Medical Tourism 98
Medical Tourism Business Registers Growth Despite Economic
Slowdown 98
Indian Medical Tourism Industry - Attracting Foreign Patients 99
Indian Health Tourism Industry: A New Destination for Gulf
Patients 99
Chennai Develops into Foremost Destination for Medical Tourism 100
Wellness Tourism on an Upward Trend 100
Ayurveda and Yoga: New Features of Tourism 100
High Success Rates Attract Medical Tourists 101
Government to Boost Future Health Tourism Market 101
Rental Wombs Attract Medical Tourists 101
Hubs of ‘Medical Excellence’ 102
Kerala 102
Punjab 102
Maharashtra 102
Karnataka 102
The Indian Advantage 102
Challenges Faced by Medical Tourism Industry 103
Future Prospects 103
Dental Tourism Expands in India 104
Table 28: Indian Current and Future Analysis for Dental Tourism
Market - Annual Revenues in US$ Million for Years 2010
through 2015 104
US Dental Tourists Prefer India 105
Adventure Tourism: New Community Conscious Tool 105
India Emerges as Destination of Golf Tourism 105

5e. INDONESIA 107
Current and Future Analysis 107
Table 29: Indonesian Current and Future Analysis for Tourism
Market - Annual Revenues in US$ Billion for Years 2010
through 2015 107
Indonesian Medical Sector - A Brief 107

5f. LAOS 109
Government Initiatives to Improve Tourism 109

5g. MALAYSIA 110
Overview 110
Table 30: Malaysian Current and Future Analysis for Tourism
Market - Annual Revenues in US$ Billion for Years 2010
through 2015 110
Tourism Industry to Drive Malaysia’s Economy 110
Malaysian Medical Tourism Stands Out in Economic Recession 111
Table 31: Malaysian Current and Future Analysis for Medical
Tourism Market - Annual Revenues in US$ Million for Years
2010 through 2015 112
Robust Growth Forecast for Medical Tourism 112
Prospective of Medical Tourism Industry 112
Medical Tourism in the Past 113
Initiatives by Malaysian Government 113

5h. NEW ZEALAND 115
Medical Tourism 115
Adventure Tourism Injuries - A Brief 115
CTNZ - New Zealand’s Creative Tourism Program 115

5i. PAKISTAN 116
Pakistan - A Destination for Desperate Customers 116

5j. PHILIPPINES 117
Overview 117
Medical Tourism - A High Growth Market 117
Table 32: Estimated Cost of Select Medical Procedures in the
Philippines 117
Table 33: Philippines Current and Future Analysis for Medical
Tourism Market - Annual Revenues in US$ Million for Years
2010 through 2015 118
Promising Filipino Medical Tourism Market 118
Filipino Spa and Wellness Industry to Register High Growth 119

5k. SINGAPORE 120
Tourism Industry - Overview 120
Medical Tourism in Singapore - A Brief 120
Table 34: Singapore Current and Future Analysis for Medical
Tourism Market - Annual Revenues in US$ Million for Years
2010 through 2015 121
Strengths of Singapore's Medical Tourism Market 121
Singapore Witnesses Growth in Number of Medical Tourists from
Middle East 122
Medical Tourism: Economy Booster - A Recent Past Perspective 122
Government Initiatives 122

5l. SOUTH KOREA 123
Outbound Tourism in South Korea 123
Government Revives Tourism Tempo 123
South Korea: An Emerging Market for Medical Tourism 123
South Korean Medical Tourism to Strengthen Ties with Vietnam 124
Table 35: South Korean Current and Future Analysis for Medical
Tourism Market - Annual Revenues in US$ Million for Years
2010 through 2015 125

Table 36: South Korean Medical Tourism Market: Breakdown of
Foreign Medical Tourists for Years 2011 and 2012 (In '000) 125

5m. SRI LANKA 125

5n. TAIWAN 126
Medical Tourism - Overview 126
Chinese Travelers: Untapped Potential 126
Taiwan Targets Indian Tourists 126
Table 37: Taiwanese Current and Future Analysis for Tourism
Market - Annual Revenues in US$ Million for Years 2010
through 2015 127

5o. THAILAND 128
Tourism Industry - Overview 128
Thai Tourism Industry Recovers from Political Uncertainty 128
Table 38: Thailand Current and Future Analysis for Tourism
Market - Annual Revenues in US$ Billion for Years 2010
through 2015 129
Thailand - One of the Largest Markets for Medical Tourism 129
Table 39: Estimated Cost of Select Medical Procedures in
Thailand 130
Table 40: Thailand Current and Future Analysis for Medical
Tourism Market - Annual Revenues in US$ Million for Years
2010 through 2015 130
Preferred Medical Tourism Destination for Iranians 130
Superior Services at Low Price Make Thai an Attractive Market 131

5p. VIETNAM 132

6. LATIN AMERICA 133

6a. ARGENTINA 133
Medical Tourism Industry in Argentina: A Snapshot 133

6b. BRAZIL 134
High Registering and Accreditation Activities in Brazilian
Healthcare 134
Medical Tourism Market in Brazil Challenged by Many Factors 134
Lack of Publicity 134
Reluctance in Collaboration with Global Participants 134
Lack of Global Recognition 134
Lack of Entrepreneurial Attitude 135
Lack of Skilled Personnel 135
Lack of Focus on Areas of Excellence 135
Lack of Common Strategy 135
Brazil Set to Attract Medical Tourists 135

6c. COLOMBIA 136
Overview 136

6d. COSTA RICA 136
Costa Rican Medical Tourism - A Brief 136

6e. CUBA 137
Cuban Tourism Industry to Witness Healthy Growth 137
An Overview of Medical Tourism in Cuba 137

6f. ECUADOR 138

6g. MEXICO 139
Medical Tourism in Mexico - An Overview 139
Changing Scenario 139

6h. PANAMA 140
Medical Tourism - Overview 140

6i. URUGUAY 140
Medical Tourism in Uruguay - An Insight 140

7. THE MIDDLE EAST 141
Middle East to Emerge as a Major Cruise Destination 141
Religious Tourism Market: An Overview 141

7a. IRAN 142
Tourism Industry of Iran 142

7b. ISRAEL 142
Israeli Tourism Industry to Witness Growth 142
Medical Tourism Market 142

7c. JORDAN 143
Medical Tourism - Overview 143
Government Boosts Therapeutic Tourism 143

7d. SAUDI ARABIA 144

7e. UNITED ARAB EMIRATES 145
United Arab Emirates Aims to Increase Tourist Inflow 145
Growing Market of Medical Tourism in UAE 145
Medical Tourism in Dubai - An Overview 146
Medical Tourism in Dubai Induces Growth of Spa Resorts 146

8. AFRICA 147
Table 41: African Tourism Market (2011): Percentage Share
Breakdown of International Annual Tourist Receipts by Country
- South Africa, Morocco, Tunisia, Algeria, and Others 147
Health Tourism Market 147
Eco-tourism Market 147

8a. ALGERIA 148
Tourism - An Emerging Industry 148
Government Initiatives 148

8b. EGYPT 148
Tourism in Egypt to Undergo a Boom 148

8c. KENYA 149
Tourism Industry -Overview 149
Important Destinations 149
Government Efforts to Encourage Family Tourism 149
Table 42: Kenyan Current and Future Analysis for Tourism Market
- Annual Revenues in US$ Million for Years 2010 through 2015 150
Tourism Registers Growth Despite Piracy Threats 150

8d. RWANDA 151
Government Promotes Cultural Tourism 151
Table 43: Rwanda Current and Future Analysis for Cultural
Tourism Market - Annual Revenues in US$ Million for Years
2010 through 2015 151

8e. SOUTH AFRICA 152
Medical Tourism in South Africa - An Overview 152
Changing Medical Tourism Scenario 152
Table 44: South African Current and Future Analysis for
Medical Tourism Market - Annual Revenues in US$ Million for
Years 2010 through 2015 153
Major Adventure Tourism Destination 153
Eco-Friendly Tourism on Growth Path 153

8f. TANZANIA 154
Tourism Industry - Overview 154
Table 45: Tanzanian Current and Future Analysis for Tourism
Market - Annual Revenues in US$ Million for Years 2010
through 2015 154
Wildlife Tourism 154
Tanzanian Administration of Wildlife - Total Land Area (in
%), Number of Parks/ Reserves, and Permissible Categories
for Game Reserves, Game Controlled Areas, National Parks,
and Ngorongoro Conservation Area 155

8g. TUNISIA 155

8h. UGANDA 156
Ugandan Spiritual Tourism Market 156
Ugandan Health Tourism Market 156

8i. ZIMBABWE 156


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