Estonia s Strategic Choices for Developing the Health care Service Export Imre Mürk, expert of Foresight Division

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1 Estonia s Strategic Choices for Developing the Health care Service Export Imre Mürk, expert of Foresight Division

2 4 principle strategic possibilities for the state to promote the health care services export State strategies the health care service export is advanced as state planned activity, e.g. Singapore (top centre of South-East Asia) Cooperation of public and private sector strategy based on the nation-wide consortium or agency with shared responsibility, both sectors having essential importance in development and responsibility, e.g. London Medicine. Field-based strategies - based on common interests in (priority) development of corresponding field, the goal is to create a strong niche, e.g. Hungary Strategy of private enterprises - approach based on conscious development of the provider or an operator into the top centre of service export, e.g. Bumrungrad hospital in Thailand

3 Export 2 billion EEK External factors and trends, impacting the growth, are favourable for us Actual state of medical tourim, Incl therapy spas 200 million EEK Export Growth Model Possible 1-2 billion EEK of yearly export ( but the market models has to function together) Tourism Spas Medicine Tourism Medicine The factors impacting the inner growth are alterable 0.36 billion EEK Market model 2010 Spas Estonian image, access to services Marketing, communication Competitiveness of services (quality, price, ability) Talents Stimulating cooperation Regulations 2018 How to do this? Source: Development Fund 2009

4 Lowl Investment capacity High The best starting point for Estonia! The stategic choices in Estonian health care service export Simultaneous development other niches and mutual coherence SPECIALIZATION Specialization in the niches: e.g dental care, plastic surgery, diagnostics, orthopaedics etc. Centering in cooperative grids, common marketing in foreign markets REGIONAL MEDICAL HUB Priority development in medical services and adjacent fields (biotechnology, ICT, medical education). Longtime investments, Synergy with coherent fields. The most ambitious choice. Easily attainable MARKET laboriously attainable TOURISM + WELLNESS SERVICES + TREATMENT Estonia as an attractive tourist destination Synergy of three-sided value chain Creating a common image, incl cooperating with state No expectation of large investments Enriching of treatment packages in spas COMPLEX SOLUTIONS IN THE GROWING DEMAND FIELDS Skilful marketing and service design instead of high technolgy (e.g. treatment of alcholism, overweight) Privacy as additional value in sales (e.g. infertility treatment). Competitivenes advantage of the originial supplier Time

5 3 Recommendations for action

6 1 Creation of cooperation stage (public and private) Establishment of cooperation stage of public and private sector of Estonia would be functional for developing the healt care services export a health care services export agency

7 1 Creation of cooperation stage (public and private) The tasks of the agency would include among others: Vigorous marketing of Estonian image Developing of international strategic cooperation Participating in the creation the policies of the adjacent fields (economy, export, health care and education) Supporting the cooperation of health care and adjacent fields Coordinating the investments of capital and in technology (both national and foreign investments)

8 1 Possible structure of cooperation stage Private sector with export interests Union of Spas, Union of Psysicians, dental clinics etc private clinics, proffesional unions etc enterprises Big players Regional Hospital of Northern Estonia Clinic of University of Tartu Cooperation stage Health care export agency Policy designers Minstry of Economy and Communications, Enterprise Estonia, Minsitry of Social Affairs, Estonian Health Insurance Fund, University of Tartu, Medical Colleges 1. Function: Foreign environment Marketing, Communications 2. Function Domestic environment, business level Encouraging cooperation 3. Function Domestic environment, state level Regulations

9 2 Integrating adjacent fields For developing the prerequisites of health care service export integration of the adjacent fields important to the implementation of export strategies must be kept in mind from the beginning. Medical education Policies Biotechnology ICT R&D activities tourism

10 3 Analysis of the target markets and needs of tourists or importance to raise the sensitivity of market Somewhat lower obstacles in entering the market in Finland and North-West Russia but... Definite benefit in carrying out further studies of every strategic field in health care services In working out the export strategy the need of further analysis of tourist flow to Estonia

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