Patients beyond borders: A study of medical tourists in four countries

被引:63
作者
Alsharif, Mohd Jamal [1 ,3 ]
Labonte, Ronald [2 ]
Lu, Zuxun [1 ]
机构
[1] Huazhong Univ Sci & Technol, Wuhan, Peoples R China
[2] Univ Ottawa, Fac Med, Inst Populat Hlth, Chair in Globalizat & Hlth Equ, Ottawa, ON, Canada
[3] Huazhong Univ Sci & Technol, Sch Publ Hlth, Dept Social Med & Hlth Management, 99 rue Mutchmore, Quebec City, PQ J8Y 3T4, Canada
基金
加拿大健康研究院;
关键词
China; health travel global market; India; international patients; Jordan; medical tourism; the United Arab Emirates;
D O I
10.1177/1468018110380003
中图分类号
D0 [政治学、政治理论];
学科分类号
0302 ; 030201 ;
摘要
This exploratory study assesses the experiences of medical travelers seeking out of country health care in four destination countries: India, China, Jordan and the United Arab Emirates. It aims to identify the source countries of medical travelers, to understand their reasons for seeking out-of-country care, the type of services they obtained, and their level of satisfaction with the experience. Cost, physician and facility reputation and hospital accreditation were ranked as the most important factors in choosing out-of-country care. Wait times at home or lack of access to care were important motivations for international medical travel. Patient assessment of treatment outcomes is as high as might be found in similar assessments in high-income country facilities. Certain forms of treatment sought by respondents (i.e. organ transplantation) raise specific ethical concerns. Also of concern is that the present health systems in all four countries fail to adequately meet the health needs of their population (notably poorer groups). Evidence and inference strongly suggest that access to health care for poorer groups will worsen in these countries as medical tourism increases, at least in the short term, raising generic ethical and policy challenges over the extent to which access to essential health care by poorer persons is compromised by the public subsidization or promotion of medical tourism.
引用
收藏
页码:315 / 335
页数:21
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