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Medical Tourism: A Cost or Benefit to the NHS?
'Medical Tourism' - the phenomenon of people travelling abroad to access medical treatment - has received increasing attention in academic and popular media. This paper reports findings from a study examining effect of inbound and outbound medical tourism on the UK NHS, by estimating volume of medical tourism and associated costs and benefits. A mixed methods study it includes analysis of the UK International Passenger Survey (IPS); interviews with 77 returning UK medical tourists, 63 policymakers, NHS managers and medical tourism industry actors policymakers, and a review of published literature. These informed costing of three types of treatments for which patients commonly travel abroad: fertility treatment, cosmetic and bariatric surgery. Costing of inbound tourism relied on data obtained through 28 Freedom-of-Information requests to NHS Foundation Trusts. Findings demonstrate that contrary to some popular media reports, far from being a net importer of patients, the UK is now a clear net exporter of medical travellers. In 2010, an estimated 63,000 UK residents travelled for treatment, while around 52,000 patients sought treatment in the UK. Inbound medical tourists treated as private patients within NHS facilities may be especially profitable when compared to UK private patients, yielding close to a quarter of revenue from only 7% of volume in the data examined. Costs arise where patients travel abroad and return with complications. Analysis also indicates possible savings especially in future health care and social costs averted. These are likely to be specific to procedures and conditions treated. UK medical tourism is a growing phenomenon that presents risks and opportunities to the NHS. To fully understand its implications and guide policy on issues such as NHS global activities and patient safety will require investment in further research and monitoring. Results point to likely impact of medical tourism in other universal public health systems.
Journal Article
Medical tourism in Thailand: a cross-sectional study
To investigate the magnitude and characteristics of medical tourism in Thailand and the impact of such tourism on the Thai health system and economy.
In 2010, we checked the records of all visits to five private hospitals that are estimated to cover 63% of all foreign patients. We reviewed hospital records of foreign patients and obtained data on their countries of origin, diagnoses and interventions. We surveyed 293 medical tourists to collect demographic characteristics and information on their expenditure and travelling companions. To help understand the impact of medical tourism on the Thai health system, we also interviewed 15 hospital executives and 28 service providers from the private hospitals.
We obtained 911,913 records of hospital visits, of which 324,906 came from 104,830 medical tourists. We estimated that there were 167,000 medical tourists in Thailand in 2010. Of the medical tourists who attended our study hospitals, 67,987 (64.8%) came from the eastern Mediterranean region or Asia and 109,509 (34%) of them were treated for simple and uncomplicated conditions - i.e. general check-ups and medical consultations. The mean self-reported non-medical expenditure was 2750 United States dollars. According to the hospital staff interviewed, medical tourism in 2010 brought benefits to - and apparently had no negative impacts on - the Thai health system and economy.
We estimate that the total number of medical tourists visiting Thailand is about 10% of previous national government estimates of 1.2 million. Such tourists appear to bring economic benefits to Thailand and to have negligible effects on the health system.
Journal Article
Medical tourism facilitators walk a tightrope between ethics and business
A new market of intermediary fixers for medical tourists say that they can lower the risks associated with seeking treatment overseas. Charu Bahri asks what these facilitators do—and who oversees them?
Journal Article
Medical travel brand management : success strategies for hospitality bridging healthcare (H2H)
\"This new volume, which complements the editors' earlier volume Medical Travel Brand Management: Success Strategies for Hospitality Bridging Healthcare (H2H), explores the multitude of medical travel services and discusses the integration of traveling medical guests with destination providers, hospitality/healthcare professionals, and travel service providers. The editors also address the impact the COVID-19 pandemic has made on the travel industry, which has motivated them to bring together major players, renowned authors, practitioners, and researchers to create this book to help prepare the medical tourism market to not only recover from the devastating effects of the pandemic but also to provide tools and cases that will help to structure successful destinations for medical travel. From chapters on branding to assessing accreditation and post-care quality metrics, Drs. DeMicco, Poorani, and their fellow contributors take the reader through the critical phases of the medical travel journey: pre-visit, travel, on-site care, discharge and follow-up care. The authors address critical issues facing medical, health, and wellness travel from both macro and micro perspectives. Presentations of best practices and strategies demonstrate how some destinations have built, renewed, or engaged various stakeholders to construct or enhance their medical tourism destination. Medical Travel: Hospitality Bridging Healthcare (H2H) © also showcases best practices and innovative ways of designing and operating a profitable and entrepreneurial practice. Quality issues, aesthetics, and legal issues related to inbound and outbound medical tourism are also presented. The book explores the evolving nature of hospital design and the complex relationship between people and medicine as manifested in the relationship of hospital aesthetics to patient satisfaction. Importantly, the book also includes a chapter addressing medical health travel during the pandemic which describes how the pandemic has revolutionized telehealth and the medical travel industry, which can leverage the advances made in digital health and telemedicine. This volume will be an important resource for the four main players at the center of medical travel: medical travelers themselves, government agencies, intermediaries, and health and wellness providers. The selected best practices, research, cases, innovative strategies, SWOT analysis, and toolkits address the aims of all stakeholders\"-- Provided by publisher.
Book
Medical tourism and medical tourists: providing a sustainable course to integrating health treatments with tourism
Highlight
Medical tourism (MT) is an expanding multidisciplinary economic activity that combines the healthcare and tourist industries, with patients increasingly travelling worldwide for medical treatments. MT provides economic benefits to destinations while raising ethical, quality, informed and risk concerns for medical tourists. Greater cross-disciplinary studies and collaboration across sectors are advocated.
Journal Article
Diasporic medical tourism: a scoping review of quantitative and qualitative evidence
Background
There is a growing recognition of the significance of the diasporic dimension of medical travel. Explanations of medical tourism are increasingly presented in a wider context of transnationalism, diaspora and migration. Yet diaspora and cross-border travellers rarely get through the broader narrative of medical travel.
Objective
Our aim in this scoping review was to extend the current knowledge on the emerging subject of diasporic travels for medical purposes. Specifically, we reviewed the existing literature on what is known about the determinants and motivational factors of diasporic medical tourism; its geographic scope and its quantitative estimation.
Methods
Using a scoping review methodology, we conducted the search in seven electronic databases. It resulted in 210 records retrieved. Ultimately, 28 research papers and 6 non-research papers (published between 2002 and 2019) met the following criteria: 1) focus on healthcare and health-related practices, 2) transnational perspective, 3) healthcare consumption in the country of origin (homeland) while being a resident of another country, 4) published in English.
Results
The findings from our review highlighted the importance of diasporic medical patients who had been researched and analysed on four continents. Even though quantitative evidence has been scarce, the data analysed in the scoping review pointed to the existence of non-negligible level of diasporic medical tourism in Northern America, and in Europe. Various motivational factors were enumerated with their frequency of occurrence: medical culture (12), time availability (“by the way of being home”) (9), communication (6), dissatisfaction with the current system (6), healthcare insurance status (5), quality of healthcare (5), second opinion (3), and value for money (3).
Conclusion
Diasporic medical tourists constitute an attractive segment of consumers that is still not well understood and targeted. They are part of transnational communities that cultivate the links between the two nations. They simultaneously participate in bi-lateral healthcare systems via return visits which impact the health systems of sending and receiving countries in a substantial way. In the current globalised, connected and migratory context, transnationalism seems to represent an answer to many local healthcare-related barriers. Sending and receiving countries have put in place an array of programmes and policies addressed to the diasporic medical travellers.
Journal Article