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http://www.iaeme.com/IJMET/index.
International Journal of Mechanical Engineering and Technology (IJM
Volume 10, Issue 1, January 201
Available online at http://www.iaeme.com/ijmet/issues.asp?JType=IJMET&VType=
ISSN Print: 0976-6340 and ISSN Online: 0976
© IAEME Publication
BANGALORE AS A
DESTINATION CHALLENG
Assistant Professor, Department of Tourism and Hospitality Management
Bharath University, Agaram main road
Professor, Dept of Management Studies
Bharath University, Selaiyur
ABSTRACT
Medical tourism is a term to describe the rapidly
across international borders
travellers include elective procedures as well as complex specialized surgeries.
50 countries have identified medical tourism
healthcare revenues upward of US$3.3 trillion health care is world’s second largest
business after retailing. The healthcare industry in India is worth US$19 billion and is
expected to grow at an annual rate of 13% for the next three
spending on healthcare is 5.2% of GDP and is distributed bet
and public sector (37%) and pr
ventures (63%).
The aim of this study is to determine the effective factors for attracting medical
tourism to Bangalore in a variety of aspect such as propel’ function of related
organization, ‘ proper marketing mix according to special circumstances of
Bangalore. It seems that kno
Bangalore to medical tourism mar
be addressed for the medical tourism
range of strategic and tactical initiatives that would contribute to a faster growth
the industry. Special emphasis is placed on the need for
various stakeholders such as me
transportation services, tourism departments and the government.
on the factors that make India the most potential medical tourism market in
Actors such as lo cost, scale and ran
other medical tourism destinations in the world.
Keywords: Medical Tourism, Affordable Healthcare, Medical Tourists, Surgical
Care.
IJMET/index.asp 405 editor@iaeme.com
International Journal of Mechanical Engineering and Technology (IJMET)
2019, pp. 405–408, Article ID: IJMET_10_01_041
http://www.iaeme.com/ijmet/issues.asp?JType=IJMET&VType=
nd ISSN Online: 0976-6359
Scopus Indexed
BANGALORE AS A MEDICAL TOURIST
DESTINATION CHALLENGES AND
PROSPECTS
K.S. Beena
Assistant Professor, Department of Tourism and Hospitality Management
Bharath University, Agaram main road, Chennai- 600 073, Tami Nadu, India
Dr. D. Venkatrama Raju
Professor, Dept of Management Studies
Bharath University, Selaiyur, Chennai – 600 073
Medical tourism is a term to describe the rapidly-growing practice of travelling
across international borders to obtain health care. Services typically sought by
ve procedures as well as complex specialized surgeries.
50 countries have identified medical tourism as a national industry
upward of US$3.3 trillion health care is world’s second largest
he healthcare industry in India is worth US$19 billion and is
expected to grow at an annual rate of 13% for the next three years.
spending on healthcare is 5.2% of GDP and is distributed between the government
(37%) and private providers (individual, charitable& for non
The aim of this study is to determine the effective factors for attracting medical
tourism to Bangalore in a variety of aspect such as propel’ function of related
r marketing mix according to special circumstances of
Bangalore. It seems that knowing each these factors are necessary for entering
Bangalore to medical tourism market. It examines the diverse challenges that need to
for the medical tourism industry to realize its potential. It then outlines a
range of strategic and tactical initiatives that would contribute to a faster growth
Special emphasis is placed on the need for partnership
various stakeholders such as medical and healthcare providers, hos
transportation services, tourism departments and the government. This article focuses
e India the most potential medical tourism market in
Actors such as lo cost, scale and range of treatments provide ill differentiate it from
other medical tourism destinations in the world.
Tourism, Affordable Healthcare, Medical Tourists, Surgical
editor@iaeme.com
http://www.iaeme.com/ijmet/issues.asp?JType=IJMET&VType=10&IType=1
MEDICAL TOURIST
ES AND
Assistant Professor, Department of Tourism and Hospitality Management
Tami Nadu, India
growing practice of travelling
Services typically sought by
ve procedures as well as complex specialized surgeries. OVCI
as a national industry. With global
upward of US$3.3 trillion health care is world’s second largest
he healthcare industry in India is worth US$19 billion and is
India’s annual
een the government
ivate providers (individual, charitable& for non-profit
The aim of this study is to determine the effective factors for attracting medical
tourism to Bangalore in a variety of aspect such as propel’ function of related
r marketing mix according to special circumstances of
ing each these factors are necessary for entering
It examines the diverse challenges that need to
It then outlines a
range of strategic and tactical initiatives that would contribute to a faster growth of
partnership amongst the
al and healthcare providers, hospitality and
This article focuses
e India the most potential medical tourism market in world.
ge of treatments provide ill differentiate it from
Tourism, Affordable Healthcare, Medical Tourists, Surgical
K.S. Beena and Dr. D. Venkatrama Raju
http://www.iaeme.com/IJMET/index.asp 406 editor@iaeme.com
Cite this Article: K.S. Beena and Dr. D. Venkatrama Raju, Bangalore As A Medical
Tourist Destination Challenges and Prospects, International Journal of Mechanical
Engineering and Technology, 10(1), 2019, pp. 405–408.
http://www.iaeme.com/ijmet/issues.asp?JType=IJMET&VType=10&IType=1
1. INTRODUCTION
Medical tourism refers to the practice of people travelling long distances (usually across
national borders) to obtain medical services coupled with an inexpensive vacation. This is not
a new concept and references from historical documents have mentioned people travelling to
mineral and hot water springs during the Bronze and Middle ages for medical benefits.
The healthcare industry is the world’s second largest business after retail. With increasing
standards in healthcare and the need for affordable treatment, the Asian market has become a
goldmine for medical tourism. The medical tourism market revenue worldwide is expected to
reach USD 100 billion by 2012, with Asia being the major contributor. India is an attractive
healthcare destination expected to bring in between USD 11.3-22.6 billion into the country by
year 2012.
2. MEDICAL TOURISM IN INDIA
Medical tourism as a term has risen rapidly in recent decades. One of the major reason for
medical tourism is to get low cost and world-class medical treatment in countries like India,
Thailand, South America, Singapore, and Malaysia. Health and medical tourism is perceived
as one of the fastest growing segments in marketing ‘Destination India today. In recent years,
availability of latest medical facilities and technological advancement in developing countries
like India making these countries as the hot zones for medical tourism. As a rule of thumb in
medical tourism, people are not only aspiring better treatments for their ailments but are also
looking at the holistic well-being. They want to recover, relax, rejuvenate, rejoice and more
over get away from the routine. Thus, medical tourism offers a synergy of healthcare, tourism
and hospitality, proving to be attractive and energetic health package for the people. India
offers world class and the best qualified doctors, despite the lowest cost in all kind of medical
interventions compared with other developing countries. Other advantages of Medical
Tourism in India includes no waiting list, less chance of resisted infections compared to UK
or other Western countries.
With state-of –the –art medical care available at one-tenth the cost of advanced countries
(see table), India ranks second in the world for medical tourism. The slogan ‘First World
Treatment at Third World Prices’ is most apt. The therapies lie Ayurveda Unani medicine and
Homeopathy seem to attract newer patients due to unbelievably true results.
Source: www.indiahealthvisit.com
Bangalore As A Medical Tourist Destination Challenges and Prospects
http://www.iaeme.com/IJMET/index.asp 407 editor@iaeme.com
Medical tourism in India accounts for 3-55 of total healthcare delivery market and attracts
patients from a lot of countries including USA, UK, Canada, and South Africa. India has
immense potential for further growth and development in this sector. Some of the major
advantages that India has for medical tourism to flourish are as follows:
• Cost: There is a cost difference of approximately 200-800% between healthcare services
provided in India and most other countries. Complicated surgeries and treatment are made
possible at almost one tenth of the cost of developed countries. Due to strong generic drug
business and low cost of drug development, India offers low medication cost. According to a
study conducted by American Medical Association, the cost of heart bypass surgery in the US
is approximately U$ 1,3,000 as compared to US$ 10,000 in India.
• Quality: India has the advantage of having world class medical facilities which includes state
of the art hospitals, a large pool of trained doctors, dedicated nurses, and well trained
paramedics. Indian medical professionals also posses competent English speaking skills that
come in handy when interacting with patients from all over the world.
• Hospitals; Involvement of private players like Apollo Hospitals Enterprise Ltd., Fortis Health
Care Ltd., and SRL Ranbaxy, are expanding in India and abroad through mergers and
acquisitions.
• Pharmaceuticals industry; the pharmaceuticals industry in India is growing rapidly. India also
has a very strong generic drugs industry which has resulted in cheap and affordable medicines.
Research and development is also improving in the country, which holds promise for the
future of the healthcare industry in India.
• Holistic (alternative) medical services Ayurveda, the traditional healthcare system of India,
yoga, and spiritual healing are fast becoming popular in the west, which attract many medical
tourists to the country.
• Popular tourist destination: India is one of the most popular tourist destinations in the world,
renowned for its historical and cultural diversity. It is ranked in the top five favourite
destinations worldwide.
Medical Value Travel- The India Cost Advantage
Procedure US India Thailand Singapore Malaysia Panama S.Korea Taiwan
Coronary
Artery-
Bypass
Surgery
70000-
133000
7000 22000 16300 12000 10500 31950 27500
Bypass
surgery 75000-
14000
9500 25000 22000 13000 13500 4200 30000
Hip
replacement
33000-
57000
7200 1200 12000 7500 5500 10600 8800
Knee
replacement
30000-
53000
7200 11500 9600 12000 7000 11800 10000
Prostrate
Surgery
10000-
16000
3600 4400 5300 4600 3200 3150 2450
Gastric
Bypass
35000
9300-
52000
13000 16500 12700 8500 9300 10000
Face-Lift
10500-
16000
4800 5000 7500 6400 2500 6650 8500
Source: Hindu Survey of Indian Industry 2009 (in US$)
Despite strong potential, there are some areas that Indian authorities needs to work on to
further improve the quality of healthcare. Some key improvement area includes:
K.S. Beena and Dr. D. Venkatrama Raju
http://www.iaeme.com/IJMET/index.asp 408 editor@iaeme.com
• Infrastructure: infrastructure is the major concern affecting India as a Destination. Some
drawbacks include lack of proper flight connectivity to all destinations, bas roads, safe food
and after availability etc. Also, target oriented infrastructure investment could prove helpful.
• Accredition: Many hospitals in India still do not have international accredition which could
make them eligible for coverage with foreign insurance agencies. This would see a surge in
the number of patients willing to come to India for treatment.
• Industry Issues: There is a need for standardized education in Medical institutions and
regulations to curb quacks. Also, doctors and other healthcare professionals need to be trained
on interpersonal and communication skills. Hygiene is also a major point of concern for
patients and steps need to be taken to increase awareness among medical attendants.
• Marketing: India as a safe and trustworthy destination for both medical and tourism purpose is
still unknown to many and this needs to be promoted on a large platform. This could be
achieved by exhibition, road shows, and advertisements in tagged countries.
4. CONCLUSION
Even though India offers many opportunities for medical tourism growth, there are aspects
which need immediate attention. Medical tourists choose India as their favourable destination
because of the key opportunities in Indian healthcare sector in the form of efficient
infrastructures and technology. Factors such as low cost, scale and range of treatments
provided by India differentiate it from other medical tourism destinations. The health
insurance market and National medical system here are well developed, which is convenient
for visitors from the west and the Middle East. They also find the hospital expenses very
affordable.
REFERENCES
[1] Alexender J., Minister of Tourism, Govt of Karnataka on the topic “Tourism Destinations
Development in Karnataka; The New Indian Express, July 11, 2004.
[2] Xavier, VM. Faculty Department of Management studies, St.Thomas Collge. Thrissur.
Paper presented at National Tourism Conference, Gwalior and Tourism and travel on
prospects of tourism Industry.
[3] Hindu Survey of Indian Industry 2009 (in US$)
[4] Tourism development in India by Shetty. Leela, 1991
[5] Tourism development resource conservation, Negi Jagmohan
[6] Heritage & Culture Tourism by Ravi Chauhan
[7] India Tourism Website
[8] www.wikipedia.com.
[9] Wendrila Biswas, Medical Tourism – A Growing and Potential Segment in Indian
Scenario. Journal of Management, 3(1), 2016, pp. 19–26.
[10] K.S. Beena and Dr. D. Venkatrama Raju, A Study on Ayurvedic Medicines in Medical
Tourism with Special Reference to Kerala, International Journal of Mechanical
Engineering and Technology, 9(5), 2018, pp. 801–808
[11] K.S. Beena and Dr. D. Venkatrama Raju, A Case Study on Medical Tourism in Chennai
City, International Journal of Civil Engineering and Technology, 9(5), 2018, pp. 984–991.
[12] Ramesh U and Kurian Joseph, “The Holistic Approach of Ayurveda Based Wellness
Tourism in Kerala”, International Journal of Advanced Research in Management
(IJARM), Volume 3, Issue 2, 2012, pp. 29 – 39, ISSN Print: 0976 – 6324, ISSN Online:
0976 – 6332

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Ijmet 10 01_041

  • 1. http://www.iaeme.com/IJMET/index. International Journal of Mechanical Engineering and Technology (IJM Volume 10, Issue 1, January 201 Available online at http://www.iaeme.com/ijmet/issues.asp?JType=IJMET&VType= ISSN Print: 0976-6340 and ISSN Online: 0976 © IAEME Publication BANGALORE AS A DESTINATION CHALLENG Assistant Professor, Department of Tourism and Hospitality Management Bharath University, Agaram main road Professor, Dept of Management Studies Bharath University, Selaiyur ABSTRACT Medical tourism is a term to describe the rapidly across international borders travellers include elective procedures as well as complex specialized surgeries. 50 countries have identified medical tourism healthcare revenues upward of US$3.3 trillion health care is world’s second largest business after retailing. The healthcare industry in India is worth US$19 billion and is expected to grow at an annual rate of 13% for the next three spending on healthcare is 5.2% of GDP and is distributed bet and public sector (37%) and pr ventures (63%). The aim of this study is to determine the effective factors for attracting medical tourism to Bangalore in a variety of aspect such as propel’ function of related organization, ‘ proper marketing mix according to special circumstances of Bangalore. It seems that kno Bangalore to medical tourism mar be addressed for the medical tourism range of strategic and tactical initiatives that would contribute to a faster growth the industry. Special emphasis is placed on the need for various stakeholders such as me transportation services, tourism departments and the government. on the factors that make India the most potential medical tourism market in Actors such as lo cost, scale and ran other medical tourism destinations in the world. Keywords: Medical Tourism, Affordable Healthcare, Medical Tourists, Surgical Care. IJMET/index.asp 405 editor@iaeme.com International Journal of Mechanical Engineering and Technology (IJMET) 2019, pp. 405–408, Article ID: IJMET_10_01_041 http://www.iaeme.com/ijmet/issues.asp?JType=IJMET&VType= nd ISSN Online: 0976-6359 Scopus Indexed BANGALORE AS A MEDICAL TOURIST DESTINATION CHALLENGES AND PROSPECTS K.S. Beena Assistant Professor, Department of Tourism and Hospitality Management Bharath University, Agaram main road, Chennai- 600 073, Tami Nadu, India Dr. D. Venkatrama Raju Professor, Dept of Management Studies Bharath University, Selaiyur, Chennai – 600 073 Medical tourism is a term to describe the rapidly-growing practice of travelling across international borders to obtain health care. Services typically sought by ve procedures as well as complex specialized surgeries. 50 countries have identified medical tourism as a national industry upward of US$3.3 trillion health care is world’s second largest he healthcare industry in India is worth US$19 billion and is expected to grow at an annual rate of 13% for the next three years. spending on healthcare is 5.2% of GDP and is distributed between the government (37%) and private providers (individual, charitable& for non The aim of this study is to determine the effective factors for attracting medical tourism to Bangalore in a variety of aspect such as propel’ function of related r marketing mix according to special circumstances of Bangalore. It seems that knowing each these factors are necessary for entering Bangalore to medical tourism market. It examines the diverse challenges that need to for the medical tourism industry to realize its potential. It then outlines a range of strategic and tactical initiatives that would contribute to a faster growth Special emphasis is placed on the need for partnership various stakeholders such as medical and healthcare providers, hos transportation services, tourism departments and the government. This article focuses e India the most potential medical tourism market in Actors such as lo cost, scale and range of treatments provide ill differentiate it from other medical tourism destinations in the world. Tourism, Affordable Healthcare, Medical Tourists, Surgical editor@iaeme.com http://www.iaeme.com/ijmet/issues.asp?JType=IJMET&VType=10&IType=1 MEDICAL TOURIST ES AND Assistant Professor, Department of Tourism and Hospitality Management Tami Nadu, India growing practice of travelling Services typically sought by ve procedures as well as complex specialized surgeries. OVCI as a national industry. With global upward of US$3.3 trillion health care is world’s second largest he healthcare industry in India is worth US$19 billion and is India’s annual een the government ivate providers (individual, charitable& for non-profit The aim of this study is to determine the effective factors for attracting medical tourism to Bangalore in a variety of aspect such as propel’ function of related r marketing mix according to special circumstances of ing each these factors are necessary for entering It examines the diverse challenges that need to It then outlines a range of strategic and tactical initiatives that would contribute to a faster growth of partnership amongst the al and healthcare providers, hospitality and This article focuses e India the most potential medical tourism market in world. ge of treatments provide ill differentiate it from Tourism, Affordable Healthcare, Medical Tourists, Surgical
  • 2. K.S. Beena and Dr. D. Venkatrama Raju http://www.iaeme.com/IJMET/index.asp 406 editor@iaeme.com Cite this Article: K.S. Beena and Dr. D. Venkatrama Raju, Bangalore As A Medical Tourist Destination Challenges and Prospects, International Journal of Mechanical Engineering and Technology, 10(1), 2019, pp. 405–408. http://www.iaeme.com/ijmet/issues.asp?JType=IJMET&VType=10&IType=1 1. INTRODUCTION Medical tourism refers to the practice of people travelling long distances (usually across national borders) to obtain medical services coupled with an inexpensive vacation. This is not a new concept and references from historical documents have mentioned people travelling to mineral and hot water springs during the Bronze and Middle ages for medical benefits. The healthcare industry is the world’s second largest business after retail. With increasing standards in healthcare and the need for affordable treatment, the Asian market has become a goldmine for medical tourism. The medical tourism market revenue worldwide is expected to reach USD 100 billion by 2012, with Asia being the major contributor. India is an attractive healthcare destination expected to bring in between USD 11.3-22.6 billion into the country by year 2012. 2. MEDICAL TOURISM IN INDIA Medical tourism as a term has risen rapidly in recent decades. One of the major reason for medical tourism is to get low cost and world-class medical treatment in countries like India, Thailand, South America, Singapore, and Malaysia. Health and medical tourism is perceived as one of the fastest growing segments in marketing ‘Destination India today. In recent years, availability of latest medical facilities and technological advancement in developing countries like India making these countries as the hot zones for medical tourism. As a rule of thumb in medical tourism, people are not only aspiring better treatments for their ailments but are also looking at the holistic well-being. They want to recover, relax, rejuvenate, rejoice and more over get away from the routine. Thus, medical tourism offers a synergy of healthcare, tourism and hospitality, proving to be attractive and energetic health package for the people. India offers world class and the best qualified doctors, despite the lowest cost in all kind of medical interventions compared with other developing countries. Other advantages of Medical Tourism in India includes no waiting list, less chance of resisted infections compared to UK or other Western countries. With state-of –the –art medical care available at one-tenth the cost of advanced countries (see table), India ranks second in the world for medical tourism. The slogan ‘First World Treatment at Third World Prices’ is most apt. The therapies lie Ayurveda Unani medicine and Homeopathy seem to attract newer patients due to unbelievably true results. Source: www.indiahealthvisit.com
  • 3. Bangalore As A Medical Tourist Destination Challenges and Prospects http://www.iaeme.com/IJMET/index.asp 407 editor@iaeme.com Medical tourism in India accounts for 3-55 of total healthcare delivery market and attracts patients from a lot of countries including USA, UK, Canada, and South Africa. India has immense potential for further growth and development in this sector. Some of the major advantages that India has for medical tourism to flourish are as follows: • Cost: There is a cost difference of approximately 200-800% between healthcare services provided in India and most other countries. Complicated surgeries and treatment are made possible at almost one tenth of the cost of developed countries. Due to strong generic drug business and low cost of drug development, India offers low medication cost. According to a study conducted by American Medical Association, the cost of heart bypass surgery in the US is approximately U$ 1,3,000 as compared to US$ 10,000 in India. • Quality: India has the advantage of having world class medical facilities which includes state of the art hospitals, a large pool of trained doctors, dedicated nurses, and well trained paramedics. Indian medical professionals also posses competent English speaking skills that come in handy when interacting with patients from all over the world. • Hospitals; Involvement of private players like Apollo Hospitals Enterprise Ltd., Fortis Health Care Ltd., and SRL Ranbaxy, are expanding in India and abroad through mergers and acquisitions. • Pharmaceuticals industry; the pharmaceuticals industry in India is growing rapidly. India also has a very strong generic drugs industry which has resulted in cheap and affordable medicines. Research and development is also improving in the country, which holds promise for the future of the healthcare industry in India. • Holistic (alternative) medical services Ayurveda, the traditional healthcare system of India, yoga, and spiritual healing are fast becoming popular in the west, which attract many medical tourists to the country. • Popular tourist destination: India is one of the most popular tourist destinations in the world, renowned for its historical and cultural diversity. It is ranked in the top five favourite destinations worldwide. Medical Value Travel- The India Cost Advantage Procedure US India Thailand Singapore Malaysia Panama S.Korea Taiwan Coronary Artery- Bypass Surgery 70000- 133000 7000 22000 16300 12000 10500 31950 27500 Bypass surgery 75000- 14000 9500 25000 22000 13000 13500 4200 30000 Hip replacement 33000- 57000 7200 1200 12000 7500 5500 10600 8800 Knee replacement 30000- 53000 7200 11500 9600 12000 7000 11800 10000 Prostrate Surgery 10000- 16000 3600 4400 5300 4600 3200 3150 2450 Gastric Bypass 35000 9300- 52000 13000 16500 12700 8500 9300 10000 Face-Lift 10500- 16000 4800 5000 7500 6400 2500 6650 8500 Source: Hindu Survey of Indian Industry 2009 (in US$) Despite strong potential, there are some areas that Indian authorities needs to work on to further improve the quality of healthcare. Some key improvement area includes:
  • 4. K.S. Beena and Dr. D. Venkatrama Raju http://www.iaeme.com/IJMET/index.asp 408 editor@iaeme.com • Infrastructure: infrastructure is the major concern affecting India as a Destination. Some drawbacks include lack of proper flight connectivity to all destinations, bas roads, safe food and after availability etc. Also, target oriented infrastructure investment could prove helpful. • Accredition: Many hospitals in India still do not have international accredition which could make them eligible for coverage with foreign insurance agencies. This would see a surge in the number of patients willing to come to India for treatment. • Industry Issues: There is a need for standardized education in Medical institutions and regulations to curb quacks. Also, doctors and other healthcare professionals need to be trained on interpersonal and communication skills. Hygiene is also a major point of concern for patients and steps need to be taken to increase awareness among medical attendants. • Marketing: India as a safe and trustworthy destination for both medical and tourism purpose is still unknown to many and this needs to be promoted on a large platform. This could be achieved by exhibition, road shows, and advertisements in tagged countries. 4. CONCLUSION Even though India offers many opportunities for medical tourism growth, there are aspects which need immediate attention. Medical tourists choose India as their favourable destination because of the key opportunities in Indian healthcare sector in the form of efficient infrastructures and technology. Factors such as low cost, scale and range of treatments provided by India differentiate it from other medical tourism destinations. The health insurance market and National medical system here are well developed, which is convenient for visitors from the west and the Middle East. They also find the hospital expenses very affordable. REFERENCES [1] Alexender J., Minister of Tourism, Govt of Karnataka on the topic “Tourism Destinations Development in Karnataka; The New Indian Express, July 11, 2004. [2] Xavier, VM. Faculty Department of Management studies, St.Thomas Collge. Thrissur. Paper presented at National Tourism Conference, Gwalior and Tourism and travel on prospects of tourism Industry. [3] Hindu Survey of Indian Industry 2009 (in US$) [4] Tourism development in India by Shetty. Leela, 1991 [5] Tourism development resource conservation, Negi Jagmohan [6] Heritage & Culture Tourism by Ravi Chauhan [7] India Tourism Website [8] www.wikipedia.com. [9] Wendrila Biswas, Medical Tourism – A Growing and Potential Segment in Indian Scenario. Journal of Management, 3(1), 2016, pp. 19–26. [10] K.S. Beena and Dr. D. Venkatrama Raju, A Study on Ayurvedic Medicines in Medical Tourism with Special Reference to Kerala, International Journal of Mechanical Engineering and Technology, 9(5), 2018, pp. 801–808 [11] K.S. Beena and Dr. D. Venkatrama Raju, A Case Study on Medical Tourism in Chennai City, International Journal of Civil Engineering and Technology, 9(5), 2018, pp. 984–991. [12] Ramesh U and Kurian Joseph, “The Holistic Approach of Ayurveda Based Wellness Tourism in Kerala”, International Journal of Advanced Research in Management (IJARM), Volume 3, Issue 2, 2012, pp. 29 – 39, ISSN Print: 0976 – 6324, ISSN Online: 0976 – 6332