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Are you a priority in your own life — especially during a heart attack? Any woman living with heart disease is invited to attend. Indeed, the prices charged for medical care in a destination country generally correlate with that nation's per capita gross domestic product, which is a proxy for income levels. Accordingly, the charges for healthcare services are appropriate for the level of economic development in which the services are provided.
Low administrative and medicolegal expenses for overseas practitioners also contribute to the affordability of offshore medical care. An important consideration in medical tourism is the potential impact on the residents of destination countries. Mattoo and Rathindran [22] suggest that revenue generated by developing countries providing medical services to foreign patients creates opportunities to improve the access and quality of care available to the citizens of these countries.
Bookman and Bookman [23] emphasize that the government of destination countries must implement and enforce appropriate macroeconomic redistributive policies to ensure that the local residents of these nations actually realize the potential benefits of the medical tourism industry. Chinai and Goswami [24] have expressed concerns that medical tourism may seriously undermine the care of local residents by adversely impacting workforce distribution.
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Faced with the choice of many medical institutions in diverse countries, medical tourists may find it very difficult to identify well-trained physicians and modern hospitals that consistently provide high-quality care. Some medical tourism agents, particularly those with backgrounds in healthcare, may be a helpful resource for patients in making appropriate choices. Concerns have been voiced regarding the risk of complications resulting from travel and vacation activities in the postoperative period.
The medical community in developed countries has started to recognize medical tourism as a real phenomenon that involves the profession, practitioners, and patients.
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Peer-reviewed medical and health journals began publishing papers on this topic in The insurance industry has become an active participant in medical tourism. In several states, Blue Cross Blue Shield sells insurance policies that enable or encourage patients to have expensive surgical procedures at low-cost offshore medical facilities.
Insurance companies are able to use a portion of their substantial savings to offer incentives to beneficiaries willing to have care in medical tourism destinations, including waiving deductible and out-of-pocket health expenses and paying for travel for the patient and even a family member. A particularly interesting response to the migration of patients to offshore healthcare destinations is that some US medical facilities are now accepting referrals from medical tourism agencies and providing highly discounted services to American patients.
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In nations that have long waiting lists for certain procedures, medical tourism provides a mechanism to clear backlogs by sending patients to foreign countries without expanding local capacity. The medical tourism industry is fueled and driven by patients who feel disenfranchised by the healthcare system in their home country. These informed patients shop outside the organized medical system to find services that are affordable, timely, or simply available. Millstein and Smith [19] emphasize that the flight of American patients to foreign destinations for lifesaving operations is a symptom of an affordability problem that is symbolically important and must be addressed by physician leaders.
These leaders must recognize that patients, like all consumers, will search for providers who offer them maximal value, and medical tourism is an explicit declaration about what patients value most. Physicians and hospitals in medical tourism destinations recognize that they must provide high-quality care to develop a sustainable competitive advantage in the international marketplace. In an article on medical tourism in Time , Princeton University healthcare economist Uwe Reinhardt stated: Horowitz had full access to all of the materials and information used in this study and takes responsibility for the integrity of the analysis thereof.
Critical revision of the manuscript for important intellectual content: Globalization of the Healthcare Marketplace See reader comments on this article and provide your own. Readers are encouraged to respond to the author at ude. National Center for Biotechnology Information , U. Journal List MedGenMed v. Author information Copyright and License information Disclaimer. Horowitz, MD, MBA, FACS, has disclosed that he is Principal of Medical Insights International, a firm devoted to studying the medical tourism industry and providing objective information and analysis for parties interested or involved in medical tourism.
This article has been cited by other articles in PMC. Abstract The citizens of many countries have long traveled to the United States and to the developed countries of Europe to seek the expertise and advanced technology available in leading medical centers. Introduction Medical tourism has captured the interest of the media. The Increasing Popularity of Medical Tourism Although there are no verifiable statistics regarding the magnitude of medical tourism, the available information suggests that a substantial number of patients travel to developing nations for healthcare.
Medical Tourism Destinations The medical tourism marketplace consists of a growing number of countries competing for patients by offering a wide variety of medical, surgical, and dental services Table 1. Open in a separate window. The Global Healthcare Marketplace The international healthcare marketplace emerged in the late 19th century when patients from less developed parts of the world with the necessary resources to do so began to travel to major medical centers in Europe and the United States to have diagnostic evaluation and treatment that was unavailable in their own countries.
Quality and Safety in Medical Tourism Faced with the choice of many medical institutions in diverse countries, medical tourists may find it very difficult to identify well-trained physicians and modern hospitals that consistently provide high-quality care.