2020

PERBANDINGAN UNIT COST MEDICAL TOURISM

MALAYSIA DAN NEGARA LAINNYA

Destanul Aulia
(Universitas Sumatera Utara)

Pertemuan rapat tindak lanjut “Arahan Terhadap Penyiapan bahan Pertimbangan Medical Tourism di Indonesia “
Rabu, 2 September 2020
 OUTLINE
Medical Tourism
Kepentingan Faktor Biaya
Perbandingan Biaya
Unit Cost Pelayanan Medis
Negara-Negera Penyedia MT
Penyebab perbedaan biaya
Kajian biaya perjalanan
kesehatan dikalangan MT
Indonesia di Malaysia
 MEDICAL TOURISM
 Pelayanan kesehatan di negara maju: mahal dan waktu
tunggu yang lama
 Pasien Amerika datang ke Thailand dan India: layanan
kesehatan murah, berkualitas dan tidak harus
menunggu
 MEDICAL TOURISM

 Out of pocket health spending menjadi trend: mandiri

mencari informasi kesehatan pribadi
 Medical tourism booming di seluruh dunia.
 MT booming: menguntungkan negara penyedia layanan
dan negara yang ditinggalkan
 MEDICAL TOURISM
 Manfaat MT bagi negara penyedia:
 Menyediakan pelayanan kesehatan bermutu, harga bersaing
 Meningkatkan kesehatan masyarakat negara penyedia
 Industri sampingan (pariwisata, transportasi dll)
 Meningkatkan pendapatan negara

 Manfaat MT bagi negara-negara yang ditinggalkan:

 Mengurangi beban dalam jumlah dan biaya pelayanan kesehatan
 Menurunkan waktu tunggu yang penjang
 Memperbaiki system pelayanan kesehatan
 Harga pelayanan kesehatan akan semakin bersaing
KEPENTINGAN FAKTOR BIAYA
 Driving factor perkembangan MT: biaya dan kualitas.
 Kualitas sangat variatif (terutama sektor jasa)
 Faktor biaya menjadi sangat penting
 Hasil kajian penyaji: di Indonesia, biaya dipandang sebagai faktor penolak
dari dalam negara dan pendorong ke luar negara.
 KEPENTINGAN FAKTOR BIAYA
 Negara penyedia pelayanan MT menggunakan slogan
biaya murah sebagai penarik utama.
Contohnya slogan bagi health care Malaysia: Quality
beyond The Ordinary (kualitas terbaik), Next – level
Accessibility (paling mudah diakses pelayanan
kesehatannya) and Affordability like No Other (Malaysia
bisa menjamin bahwa pelayanan kesehatan yang
diselenggarakannya lebih murah 65% sampai 80%
dibandingkan dengan di Amerika dengan kualitas yang
sama)
 PERBANDINGAN BIAYA
Prosedur Amerika Syarikat Thailand Singapura Malaysia

Heart bypass 130,000 11,000 18,500 9,000

Heart valve replacement 160,000 10,000 12,500 9,000
Angioplasty 57,000 13,000 13,000 11,000
Hip replacement 43,000 12,000 12,000 10,000
Hysterectomy 20,000 4,500 6,000 3,000
Knee replacement 40,00 10,000 13,000 8,000
Spinal fusion 62,000 7,000 9,000 6,000

Sumber : MHTC, 2018

UNIT COST PELAYANAN MEDIS NEGARA NEGARA PENYEDIA MT
COUNTRY ANGIOPLASTY HEART BYPASS HEART VALVE
REPLACEMENT
Colombia USD $7,100 USD $14,800 USD $10,450
Costa Rica USD $13,800 USD $27,000 USD $30,000
India USD $5,700 USD $7,900 USD $9,500
Israel USD $7,500 USD $28,000 USD $28,500
Jordan USD $5,000 USD $14,400 USD $14,400
Malaysia USD$8,000 USD $12,100 USD $13,500
Mexico USD $10,400 USD $27,000 USD $28,200
Poland USD $5,300 USD $14,000 USD $19,000
Singapore USD $13,400 USD $17,200 USD $16,900
S. Korea USD $17,700 USD $26,000 USD $39,900
Thailand USD $4,200 USD $15,000 USD $17,200
Turkey USD $4,800 USD $13,900 USD $17,200
USA USD $28,200 USD $123,000 USD $170,000
Vietnam
SUMBER: MTA, 2020
UNIT COST PELAYANAN MEDIS NEGARA NEGARA PENYEDIA MT
COUNTRY HIP REPLACEMENT HIP RESURFACING KNEE REPLACEMENT
Colombia USD $8,400 USD $10,500 USD $7,200
Costa Rica USD $13,600 USD $13,200 USD $12,500
India USD $7,200 USD $9,700 USD $6,600
Israel USD $36,000 USD $20,100 USD $25,000
Jordan USD $8,000 USD $9,000 USD $9,500
Malaysia USD $8,000 USD $12,500 USD $7,700
Mexico USD $13,500 USD $12,500 USD $12,900
Poland USD $5,500 USD $9,200 USD $8,200
Singapore USD $13,900 USD $16,350 USD $16,000
S. Korea USD $21,000 USD $19,500 USD $17,500
Thailand USD $17,000 USD $13,500 USD $14,000
Turkey USD $13,900 USD $10,100 USD $10,400
USA USD $40,364 USD $28,000 USD $35,000
Vietnam
SUMBER: MTA, 2020
UNIT COST PELAYANAN MEDIS NEGARA NEGARA PENYEDIA MT
COUNTRY Spinal Fusion Dental Implant Lap Band
Colombia USD $14,500 USD $1,200 USD $8,500
Costa Rica USD $15,700 USD $800 USD $9,450
India USD $10,300 USD $900 USD $7,300
Israel USD $33,500 USD $1,200 USD $17,300
Jordan USD $10,000 USD $1,000 USD $7,000
Malaysia USD $6,000 USD $1,500 USD $8,150
Mexico USD $15,400 USD $900 USD $6,500
Poland USD $6,200 USD $925 USD $6,700
Singapore USD $12,800 USD $2,700 USD $9,200
S. Korea USD $16,900 USD $1,350 USD $10,200
Thailand USD $9,500 USD $1,720 USD $11,500
Turkey USD $16,800 USD $1,100 USD $8,600
USA USD $110,000 USD $2,500 USD $14,000
Vietnam
SUMBER: MTA, 2020
UNIT COST PELAYANAN MEDIS NEGARA NEGARA PENYEDIA MT
COUNTRY GASTRIC SLEEVE GASTRIC BYPASS HYSTERECTOMY
Colombia USD $11,200 USD $12,200 USD $2,900
Costa Rica USD $11,500 USD $12,900 USD $6,900
India USD $7,300 USD $7,000 USD $3,200
Israel USD $20,000 USD $24,000 USD $14,500
Jordan USD $7,500 USD $7,500 USD $6,600
Malaysia USD $8,400 USD $9,900 USD $4,200
Mexico USD $8,900 USD $11,500 USD $4,500
Poland USD $9,400 USD $9,750 USD $2,200
Singapore USD $11,500 USD $13,700 USD $10,400
S. Korea USD $9,950 USD $10,900 USD $10,400
Thailand USD $9,900 USD $16,800 USD $3,650
Turkey USD $12,900 USD $13,800 USD $7,000
USA USD $16,500 USD $25,000 USD $15,400
Vietnam
SUMBER: MTA, 2020
UNIT COST PELAYANAN MEDIS NEGARA NEGARA PENYEDIA MT
COUNTRY BREAST IMPLANTS RHINOPLASTY FACE LIFT
Colombia USD $2,500 USD $4,500 USD $4,000
Costa Rica USD $3,500 USD $3,800 USD $4,500
India USD $3,000 USD $2,400 USD $3,500
Israel USD $3,800 USD $4,600 USD $6,800
Jordan USD $4,000 USD $2,900 USD $3,950
Malaysia USD $3,800 USD $2,200 USD $3,550
Mexico USD $4,500 USD $3,800 USD $4,900
Poland USD $3,900 USD $2,500 USD $4,000
Singapore USD $8,400 USD $2,200 USD $440
S. Korea USD $3,800 USD $3,980 USD $6,000
Thailand USD $3,500 USD $3,300 USD $3,950
Turkey USD $4,500 USD $3,100 USD $6,700
USA USD $6,400 USD $6,500 USD $11,000
Vietnam USD $4,000 USD $2,100 USD $4,150
SUMBER: MTA, 2020
UNIT COST PELAYANAN MEDIS NEGARA NEGARA PENYEDIA MT
COUNTRY LIPO SUCTION TUMMY TUCK LASIK (BOTH EYES)
Colombia USD $2,500 USD $3,500 USD $2,400
Costa Rica USD $2,800 USD $5,000 USD $2,400
India USD $2,800 USD $3,500 USD $1,000
Israel USD $2,500 USD $10,900 USD $3,800
Jordan USD $1,400 USD $4,200 USD $4,900
Malaysia USD $2,500 USD $3,900 USD $3,450
Mexico USD $3,000 USD $4,500 USD $1,900
Poland USD $1,800 USD $3,550 USD $1,850
Singapore USD $2,900 USD $4,650 USD $3,800
S. Korea USD $2,900 USD $5,000 USD $1,700
Thailand USD $2,500 USD $5,300 USD $2,310
Turkey USD $3,000 USD $4,000 USD $1,700
USA USD $5,500 USD $8,000 USD $4,000
Vietnam USD $3,000 USD $3,000 USD $1,720
SUMBER: MTA, 2020
UNIT COST PELAYANAN MEDIS NEGARA NEGARA PENYEDIA MT
COUNTRY
CORNEA (PER EYE) CATARACT SURGERY (PER EYE) IVF TREATMENT
Colombia NA USD $1,600 USD $5,450
Costa Rica USD $9,800 USD $1,700 -
India USD $2,800 USD $1,500 USD $2,500
Israel NA USD $3,700 USD $5,500
Jordan USD $5,000 USD $2,400 USD $5,000
Malaysia NA USD $3,000 USD $6,900
Mexico NA USD $2,100 USD $5,000
Poland NA USD $750 USD $4,900
Singapore USD $9,000 USD $3,250 USD $14,900
S. Korea NA - USD $7,900
Thailand USD $3,600 USD $1,800 USD $4,100
Turkey USD $7,000 USD $1,600 USD $5,200
USA USD $17,500 USD $3,500 USD $12,400
Vietnam - - -
SUMBER: MTA, 2020
 PENYEBAB PERBEDAAN BIAYA

KECANGIHAN TEKNOLOGI DI SUATU NEGARA

KELIMPAHAN SUMBER DAYA (SKILL UNTUK
KEDOKTERAN, PERAWAT, TENAGA KESEHATAN
LAINNYA)
POLA PERMINTAAN (TERKAIT DENGAN GEOGRAFI,
IKLIM, KULINER DAN SUMBER DAYA ALAM)
DUKUNGAN KEBIJAKAN NEGARA ATAU KEBIJAKAN
KOMERSIAL
Kajian Biaya Perjalanan Kesehatan Dikalangan MT
Indonesia di Malaysia
 No. Jenis Rawatan Jumlah (Orang) Persentase
1 Pemeriksaan Kesehatan 147 27.89
2 Onkologi 50 9.49
3 Kardiologi 47 8.92
4 Neurologi 35 6.64

JENIS 5
6
Nephorologi
Endokrinologi
33
30
6.26
5.69
RAWATAN 7 Gastroentrologi 26 4.93

PASIEN 8
9
Obstetrik dan Gynekologi
Opthamologi
25
21
4.74
3.98
INDONESIA 10 Pulmonologi 21 3.98
11 Rhematologi 20 3.80
DI MALAYSIA 12 Pembedahan Orthopedik 19 3.61
13 Pakar telinga, hidung dan 17 3.23
tekak
14 Dermatologi 16 3.04
15 Urologi 13 2.47
16 Paediatrik 4 0.76
17 Diabetologi 3 0.57
Jumlah 527 100

SUMBER: DISERTASI, AULIA 2016

 BIAYA MEDICAL CHECK UP
BIAYA MEDICAL CHECK UP BIAYA RATAAN (Rp) RM %

BIAYA KONSULTASI DOKTER 757,097 214,5 6.73

BIAYA OBAT-OBAT 2,097,599 594,2 18.64
BIL RUMAH SAKIT 2,915,609 826.0 25.91

JUMLAH BIAYA CHECK UP (A) 5,770,306 1,634.7 51.29

Penginapan 903,975 256.1 8.03
Makan dan Minum 616,568 174.7 5.48
Tiket PESAWAT 1,261,950 357.5 11.22
Transportasi lokal 374,964 106.2 3.33
Biaya rekreasi 383,378 108.6 3.41
Biaya souvenir 1,940,042 549.6 17.24
JUMLAH BIAYA LUAR (B) 5,480,876 1,552.7 48.71
Jumlah Biaya Medical Check Up (A + B) 11,251,182 100
3,187.4
 Biaya-Biaya Biaya Rata-rata (Rp) TOTAL BIAYA (Rp)
BIAYA UNTUK PENGOBATAN 19.854.894
Biaya konsultasi dokter
2.172.166
Biaya 0bat-obat 3.484.000
Biaya fasilitas Rumah Sakit 12.858.728
BIAYA DILUAR PENGOBATAN 13,927,800
BIAYA PENGINAPAN 2.879.600
BIAYA UNTUK MAKANAN 1.869.600
BIAYA PEMBELIAN TIKET 2.532.000
BIAYA TRANSPORTASI LOKAL 824.600
BIAYA REKREASI 982.000
BIAYA PEMBELIAN SOUVENIR 4.840.000
33.782.694

BIAYA LAYANAN BEDAH

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