Key Considerations for an Economic and Legal Framework Facilitating Medical Travel
Status PubMed-not-MEDLINE Language English Country Switzerland Media electronic-ecollection
Document type Journal Article, Review
PubMed
27066467
PubMed Central
PMC4814659
DOI
10.3389/fpubh.2016.00047
Knihovny.cz E-resources
- Keywords
- adverse effects, economic and legal framework, medical travel, medical travel process, public policy,
- Publication type
- Journal Article MeSH
- Review MeSH
Medical travel has the capacity to counter increasing costs of health care by creating new markets and increased revenue for health services, potentially benefiting local populations, economies, and health-care systems. This paper is part of a broad, comprehensive project aimed at developing a global health access policy (GHAP). It presents key issues to consider in terms of ensuring economic viability, sustainability, and limiting risk to the many stakeholders involved in the rapidly expanding industry of medical travel. The noted economic and legal barriers to medical travel are based on a synthesis of themes found in an extensive review of the available literature. Economic considerations, when setting up a GHAP, include a dynamic approach to pricing that is fair to the local population. Legal considerations include the implementation of international quality standards and the protection of the rights of those traveling as well as those of local populations in recipient countries. By taking into account these opportunities, the GHAP will more adequately address existing gaps in the economic and legal regulation of medical travel.
Department of Politics and International Relations University of Oxford Oxford UK
Department of Psychology Faculty of Arts Masaryk University Brno Czech Republic
Department of Psychology Norwegian University of Science and Technology Trondheim Norway
Department of Psychology University of Cambridge Cambridge UK
Department of Social Policy London School of Economics London UK
See more in PubMed
Lunt N, Smith R, Exworthy M, Green ST, Horsfall D, Mannion R. Medical Tourism: Treatments, Markets and Health System Implications: A Scoping Review. Paris: OECD; (2011).
Ruggeri K, Záliš L, Meurice CR, Hilton I, Ly T, Zupan Z, et al. Evidence on global medical travel. Bull World Health Organ (2015) 93:785–9.10.2471/BLT.14.146027 PubMed DOI PMC
Crozier GKD, Baylis F. The ethical physician encounters international medical travel. J Med Ethics (2010) 36:297–301.10.1136/jme.2009.032789 PubMed DOI
Keckley PH, Eselius LL. 2009 Survey of Health Care Consumers: Key Findings, Strategic Implications. Washington: Deloitte Center for Health Solutions; (2009).
Herrick DM. Medical Tourism: Global Competition in Health Care. Dallas, TX: National Center for Policy Analysis; (2007).
Cheung IK, Wilson A. Arthroplasty tourism. Med J Aust (2007) 187:666–7. PubMed
Chen LH, Wilson ME. The globalization of healthcare: implications of medical tourism for the infectious disease clinician. Clin Infect Dis (2013) 57:1752–9.10.1093/cid/cit540 PubMed DOI PMC
European Parliament. Directive 2011/24/EU of the European Parliament and of the Council of 9 March 2011 on the Application of Patients’ Rights in Cross-Border Healthcare (2011). Available from: http://eur-lex.europa.eu/legal-content/EN/TXT/?uri=CELEX:32011L0024
Crooks VA, Turner L, Cohen IG, Bristeir J, Snyder J, Casey V, et al. Ethical and legal implications of the risks of medical tourism for patients: a qualitative study of Canadian health and safety representatives’ perspectives. BMJ Open (2013) 3:e002302.10.1136/bmjopen-2012-002302 PubMed DOI PMC
Cormany D, Baloglu S. Medical travel facilitator websites: an exploratory study of web page contents and services offered to the prospective medical tourist. Tour Manag (2011) 32:709–16.10.1016/j.tourman.2010.02.008 DOI
Baker D. Globalising Healthcare: A Prescription with Benefits. Washington, DC: OECD; (2010). Observer No. 281.
Whittaker A, Manderson L, Cartwright E. Patients without borders: understanding medical travel. Med Anthropol (2010) 29:336–43.10.1080/01459740.2010.501318 PubMed DOI
Karp L. Medical Travel: Global Impact and Local Response. Thomas Jefferson University Health Policy Newsletter 21; (2008). p. 1–4.
Gifford B, Park S, Anand S. Perceptions about the impact of global medical travel on poorer populations in India. World Hosp Health Serv (2009) 45(4):6–10. PubMed
Helble M. The movement of patients across borders: challenges and opportunities for public health. Bull World Health Organ (2011) 89:68–72.10.2471/BLT.10.076612 PubMed DOI PMC
Lee CG. Heath care and tourism: evidence from Singapore. Tour Manag (2010) 31:486–8.10.1016/j.tourman.2009.05.002 DOI
Lee CG, Hung WT. Tourism, health and income in Singapore. Int J Tour Res (2010) 12:355–9.10.1002/jtr.755 DOI
Chanda R. Trade in health services. Bull World Health Organ (2002) 80:158–63.10.1787/9789264090316-47-en PubMed DOI PMC
Wibulpolprasert S, Pachanee C, Pitayarangsarit S, Hempisut P. International service trade and its implications for human resources for health: a case study of Thailand. Hum Resour Health (2004) 2:10.10.1186/1478-4491-2-10 PubMed DOI PMC
Lunt NT, Mannion R, Exworthy M. A framework for exploring the policy implications of UK medical tourism and international patient flows. Soc Policy Adm (2013) 47:1–25.10.1111/j.1467-9515.2011.00833.x DOI
Turner L. “First world health care at third world prices”: globalization, bioethics and medical tourism. Biosocieties (2007) 2:303–25.10.1017/S1745855207005765 DOI
Mohamad NW, Omar A, Haron SM. The moderating effect of medical travel facilitators in medical tourism. Procedia Soc Behav Sci (2012) 65:358–63.10.1016/j.sbspro.2012.11.134 DOI
Turner LG. Quality in health care and globalization of health services: accreditation and regulatory oversight of medical tourism companies. Int J Qual Health Care (2011) 23:1–7.10.1093/intqhc/mzq078 PubMed DOI
Canales MT, Kasiske BL, Rosenberg ME. Transplant tourism: outcomes of United States residents who undergo kidney transplantation overseas. Transplantation (2006) 82:1658–61.10.1097/01.tp.0000250763.52186.df PubMed DOI
Panteli D, Wagner C, Verheyen F, Busse R. Continuity of care in the cross-border context: insights from a survey of German patients treated abroad. Eur J Public Health (2015) 25:557–63.10.1093/eurpub/cku251 PubMed DOI
Terzi E, Kern T, Kohnen T. Complications after refractive surgery abroad. Ophthalmologe (2008) 105:474–9.10.1007/s00347-007-1635-5 PubMed DOI
Kiasuwa Mbengi RL, Baeten R, McKee M, Knai C. Issues arising when crossing a border to give birth: an exploratory study on the French-Belgian border. Facts Views Vis Obgyn (2014) 6:127–32. PubMed PMC
Glonti K, Hawkesworth S, Footman K, Doering N, Schmidt AE, Destrebeq F, et al. European health professionals’ experience of cross-border care through the lens of three common conditions. Eur J Integr Med (2015) 7:29–35.10.1016/j.eujim.2014.03.012 DOI
Legido-Quigley H, McKee M, Nolte E, Glinos IA. Assuring the Quality of Health Care in the European Union. World Health Organization; (2008). Available from: www.euro.who.int/document/e91397.pdf
Kácha O, Kovács BE, McCarthy C, Schuurmans AAT, Dobyns C, Haller E, et al. An approach to establishing international quality standards for medical travel. Front Public Health (2016) 4:29.10.3389/fpubh.2016.00029 PubMed DOI PMC
Arce HE. Hospital accreditation as a means of achieving international quality standards in health. Int J Qual Health Care (1998) 10:469–72.10.1093/intqhc/10.6.469 PubMed DOI
Santoro A, Silenzi A, Ricciardi W, McKee M. Obtaining health care in another European Union Member State: how easy is it to find relevant information? Eur J Public Health (2015) 25:29–31.10.1093/eurpub/cku124 PubMed DOI
Jovanovic B. Hospital accreditation as method for assessing quality in healthcare. Arch Oncol (2005) 13:156–7.
Uchino BN. Social support and health: a review of physiological processes potentially underlying links to disease outcomes. J Behav Med (2006) 29:377–87.10.1007/s10865-006-9056-5 PubMed DOI
Thoits PA. Mechanisms linking social ties and support to physical and mental health. J Health Soc Behav (2011) 52:145–61.10.1177/0022146510395592 PubMed DOI
Global Access to Health Care and Well-Being: A Place for Policy and Science