Changing Preferences, Moving Places and Third Party Administrators: A Scoping Review of Medical Tourism Trends (1990-2016)
DOI:
https://doi.org/10.6092/issn.2036-5195/6675Keywords:
Medical tourism, Place mobility, Costs, Affordability, Third party administratorsAbstract
An overview is given of latest trends in medical tourism and its conceptualization with an industry analysis. The rapidly evolving health awareness and preferences of medical tourists, in tandem with medical treatments’ higher levels of affordability across the globe, have changed the global medical tourism industry sharply in recent decades, and many international health systems are being opened to patients’ greater cross-border movements. A scoping literature review (1990-2016) depicts the recent boom in medical tourism as presenting certain opportunities, and uncovers many challenges which are involved in its policymaking. These developments denote greater mobility of places (P) for medical treatments, affordability (A) levels to bear the inflated treatment costs (C), changing preferences of medical tourists with the passage of time (T) and participation of third party administrators (TPAs) in their overall operations. The study espouses a rise in medical tourism from the United States (US), and participating countries in Europe, Asia and Africa with participating countries, identifies a need for profound policymaking, and highlights the importance and applicability of TPC-TPAs link chain in medical tourism context. This study further recommends understanding the role of industry stakeholders, particularly governments, in the policymaking of medical tourism in order to steer the industry appropriately.References
Alberti, F. G., Giusti, J. D., Papa, F., & Pizzurno, E. (2014). Competitveness policies for medical tourism clusters: government initiatives in Thailand. Int. J. Economic Policy in Emerging Economics , 7 (3), 281-309.
Amouzagar, S., Mojaradi, Z., Izanloo, A., Beikzadeh, S., & Milani, M. (2016). Qualitative Examination of Health Tourism and its Challenges. International Journal of Travel Medicine and Global Health , 4 (3), 88-91. doi: 10.20286/ijtmgh-040304.
Arksey, H., & O'Malley, L. (2005). Scoping studies: Towards a methodological framework. International Journal of Social Research Methodology , 8 (1), 19-32.
Awadzi, W., & Panda, D. (2005). Medical Tourism: Globalization and Marketing of Medical Services. The Consortium Journal of Hospitality and Tourism, 11 (1) , 75-80.
Bennie, R. (2014). Medical Tourism: A Look at How Medical Outsourcing can Reshape Health Care. Texas International Law Journal, 49, 583-600.
Bies, W., & Zacharia, L. (2007). Medical tourism: outsourcing surgery. Mathematical and Computer Modelling, 46 (7-8) , 1144-1159.
Bookman, M. Z., & Bookman, K. R. (2007). Medical Tourism in Developing Countries. New York: Palgrave Macmillan.
Caballero-Danell, S., & Mugomba, C. (2007). Medical Tourism and its Entrepreneurial Opportunities: A Conceptual Framework for Entry Into the Industry. Goteborg: Goteborg University.
Carrera, P. M., & Bridges, J. F. (2006). Globalization and healthcare: Understanding health and medical tourism. Expert Review of Pharmacoeconomics & Outcomes Research ,6(4), 447-454.
Carrera, P., & Lunt, N. (2010). A European Perspective on Medical Tourism: The Need for a Knowledge Base. International Journal of Health Services ,40(3), 469-484.
Chekalina, T. (2015). A value co-creation perspective on customer-based brand equity modeling for tourism destinations- A case from Sweden. Östersund, Sweden: Mid Sweden University.
Chen, K.-H., Liu, H.-H., & Chang, H. (2013). Essential customer service factors and the segmentation of older visitors within wellness tourism based on hot springs hotels. International Journal of Hospitality Management , 35, 122-132. doi: http://dx.doi.org/10.1016/j.ijhm.2013.05.013.
Chen, L. H., & Wilson, M. E. (2013). The Globalization of Healthcare: Implications of Medical Tourism for the Infectious Disease Clinician. Clinical Infectious Diseases , 57 (12), 1752-1759. doi: https://doi.org/10.1093/cid/cit540.
Choo, V. (2002). Southeast Asian Countries vie with each other to woo foreign patients. Singapore: The Lancet.
Chuang, T. C., Liu, J. S., Lu, L. Y., & Lee, Y. (2014). The main paths of medical tourism: From transplantation to beautification. Tourism Managment , 45, 49-58. doi: http://dx.doi.org/10.1016/j.tourman.2014.03.016.
Connell, J. (2013 a). Contemporary Medical Tourism: Conceptualisation, Culture and Commodification. Tourism Management ,34, 1-13.
Connell, J. (2013 b). Medical Tourism in the Caribbean Islands: A Cure for Economies in Crisis? Island Studies Journal, 8(1), 115-130.
Connell, J. (2006). Medical tourism: Sea, sun, sand and… surgery. Tourism Management ,27, 1093-1100.
Cormany, D., & Baloglu, S. (2010). Medical Travel Facilitator Websites: An Exploratory Study of Web Page Contents and Services Offered to the Prospective Medical Tourist. Tourism Management ,32, 709-716.
Crooks, V. A., Kingsbury, P., Snyder, J., & Johnston, R. (2010). What is known about the patient's experience of medical tourism? A scoping review. BMC Health Services Research, 10 (10), 266.
Crouch, G. I. (1992). Effect of income and price on international tourism. Annals of Tourism Research ,19 (4), 643-664.
Crush, J., & Chikanda, A. (2015). South-South medical tourism and the quest for health in Southern Africa. Social Science & Medicine , 124, 313-320. http://dx.doi.org/10.1016/j.socscimed.2014.06.025.
Delinsky, S. S. (2005). Cosmetic Surgery: A Common and Accepted from Self-Improvement. Journal of Applied Social Psychology ,35(10), 2012-2028.
Deloitte. (2016). 2016 Global Health Care Outlook-Battling Cost While Improving Care. Deloitte Touche Tohmatsu (G) Ltd.
Ehrbeck, T., Guevara, C., & Mango, P. (2008, May). Mapping the market for medical travel. The Mckinsey Quarterly .
Ernest, D. (2006). Why Americans Take Medical Vacations Abroad. Pacific Research Institute, Health Policy Prescriptions, 4(9) , 1-4.
Fernández, L., Galán, Y., Jiménez, R., Gutiérrez, Á., Guerra, M., Pereda, C., et al. (2005). Sexual behaviour, history of sexually transmitted diseases, and the risk of prostate cancer: a case-control study in Cuba. International Journal of Epidmiology , 34, 193-197. doi: 10.1093/ije/dyh332.
Forgione, D. A., & Smith, P. C. (2007). Medical tourism and its impact on the US health care system. Journal of Health Care Finance ,34(1), 27-35.
Gahlinger, P. (2008). The Medical Tourism Travel Guide. Sunrise River Press: North Branch, USA.
Ganiyu, R. A., Uche, I. I., & Elizabeth, A. O. (2012). Is Customer Satisfaction an Indicator of Customer Loyalty? Australian Journal of Business and Management Research , 2(7), 14-20.
García-Altés, A. (2005). The Development of Health Tourism Services. Annals of Tourism Research , 32(1), 262-266.
Gatrell, A. C. (2011). Mobilities and Health. Farnham: Ashgate.
Gatrell, A. (2002). Geographies of Health: An Introduction. Blackwell, Oxford.
Gill, H., & Singh, N. (2011). Exploring the factors that affect the choice of Destination for medical tourism. Journal of Service Science and Management , 4(3), 315-324.
Goulding, C., & Shankar, A. (2004). Age is just a number: Rave Culture and the cognitively young 'thirty something'. European Journal of Marketing ,38(5/6), 641-658.
Gray, H. H., & Poland, S. C. (2008). Medical tourism: Crossing borders to access health care. Kennedy Institute of Ethics Journal ,18(2), 193-201.
Grazulis, V., & Zuromskaite, B. (2013). Systematic Approach to Personal Travel Motives- Possibilities in Lithuania. Social Research , 4 (33), 5-17.
Gupta, A. S. (2004, May 9). Medical tourism and public health. People's Democracy, 28 (19). Retrieved November 12, 2016, from http://archives.peoplesdemocracy.in/2004/0509/05092004_snd.htm
Hanefeld, J., Horsfall, D., Lunt, N., & Smith, R. (2013). Medical tourism: a cost or benefit to the NHS? PLOS One, 8 (10), p.e70406.
Hanefeld, J., Lunt, N., Smith, R., & Horsfall, D. (2014). Why do medical tourists travel to where they do? The role of networks in determining medical travel. Social Science and Medicine , 124, 356-363. doi: http://dx.doi.org/10.1016/j.socscimed.2014.05.016.
Healy, S. (2008). Youngsters in a B-line for Botox. Gold Coast, Australia, Australia: The Sunday Mail.
Henderson, J. C. (2004). Paradigm shifts: National tourism organizations and education and healthcare tourism: The case of Singapore. Tourism and Hospitality Research, 5 (2), 170-180.
Herrick, D. M. (2007). Medical tourism: Global competition in health care. National Center for policy Analysis (Natl Cnt Pol Analysis) ,82(6), 1919-1919.
Heung, V.C., Kucukusta, D., & Song, H. (2010). A conceptual Model for Medical tourism: Implications for future research. Journal of travel and tourism marketing, 27(3), 236-251. doi:10.1080/10548401003744677.
Hong, Y. A. (2016). Medical Tourism and Telemedicine:A New Frontier of an Old Business. Journal of medical internet research , 18 (5), doi: 10.2196/jmir.5432.
Hopkins, L., Labonte, R., Runnels, V., & Packer, C. (2010). Medical tourism today? What is the state of existing knowledge? Journal of Public Health Policy ,31(2), 185-198.
Horowitz, M. D., & Rosensweig, J. A. (2007). Medical tourism - health care in the global economy. Physician Executive , 33 (6), 24-30.
Horowitz, M. D., & Rosenweig, J. A. (2007). Medical tourism: globalization of the healthcare marketplace. Medscape General Medicine, 9 (4), 33.
Hudson, S., & Li, X. (. (2012). Domestic Medical Tourism: A Neglected Dimension of Medical Tourism Research. Journal of Hospitality Marketing & Management ,21 (3), 227-246.
Hume, L. F., & DeMicco, F. J. (2007). Bringing Hotels to Healthcare. Journal of Quality Assurance in Hospitality & Tourism, 8 (1), 75-84.
Inhorn, M., Shrivastav, P., & Patrizio, P. (2012). Assisted reproductive technologies and fertility 'tourism': examples from global Dubai and the Ivy League. Medical Anthropology, 31 (3), 249-265.
Janjaroen, W. S., & Supakankunti, S. (2002). International trade in health services in the millennium: the case of Thailand, in Trade in Health Services: Global, regional, and country perspectives. (N. Drager, & C. Vieira, Eds.) Washington DC: PAHO.
Johnston, R., Crooks, V. A., Cerón, A., Labonté, R., Snyder, J., Núñez, E. O., et al. (2016). Providers' perspective on inbound medical tourism in Central America and the Caribbean: factors driving and inhibiting sector development and their health equity implications. Global Health Action , 9, doi: 10.3402/gha.v9.32760.
Johnson, T. J., & Garman, A. N. (2010). Impact of medical travel on imports and exports of medical services. Health Policy ,98, 171-177.
Johnston, R., Crooks, V. A., Snyder, J., & Kingsbury, P. (2010). What is known about the effects of medical tourism in destination and departure countries? A scoping review. International Journal for Equity in Health , 9:24.
Kangas, B. (2007). Hope from Abroad in the International Medical Travel of Yemeni Patients . Anthropology & Medicine ,14 (3), 293-305.
Keckley, P. H. (2008). Medical Tourism: Consumer in Search of Value. Washington DC: Deloitte center for Health Solutions.
Khan, M. J., Chelliah, S., & Haron, M. S. (2016). International Patients' Travel Decision Making Process- A Conceptual Framework. Iranian Journal of Public Health , 45 (2), 134-145.
Kovacs, E., Szocska, G., & Knai, C. (2014). International Patients on operation vacation- perspectives of patients travelling to Hungary for Orthopaedic treatments. International Journal of Health Policy and Management , 3 (6), 333-340. doi 10.15171/ijhpm.2014.113.
Kozmenko, O., & Lysenko, V. (2014). Contribution of insurance companies to the development of the world health supermarket. Innovative Marketing , 10 (3), 6-13.
Kumar, S., Breuing, R., & Chahal, R. (2012). Globalization of healthcare delivery in the United States through medical tourism. Journal of Health Communication, 17(2), 177-198.
Laugesen, M. J., & Vargas-Bustamante, A. (2010). Laugesen, M.J. and A. Vargas-Bustamante, A patient mobility framework that travels: European and United States–Mexican comparisons. Health Policy , 97 (2), 225-231.
Leibrock, C. (2000). Design details for health: Making the most of the interior design’s healing potential. NY: Wiley & Sons.
Lunt, N. T., Mannion, R., & Exworthy, M. (2012). Framework for Exploring the Policy Implications of UK Medical Tourism and International Patient Flows. Social Policy & Administration, 47, 1-25.
Lunt, N., & Carrera, P. (2010). Medical Tourism: Assessing The Evidence on Treatment Abroad. Maturias , 66 (1), 27-32.
MacReady, N. (2007). Developing Countries Court Medical Tourists. Lancet , 369 (9576), 1849-1850.
Manhas, P.S., & Ramjit, K. (2015). Marketing analysis of Medical Tourism in India. Enlightening Tourism-A Path making journal, 5(1), 1-39.
Mattoo, A., & Rathindran, R. (2006). How health insurance inhibits trade in health care. Health Affairs ,25 (2), 358-368.
McDowall, A. (2006). Cutting Edge. MEED: Middle East Economic Digest .
MTA-Medical Tourism Association Statistics and Facts. (2009). Retrieved October 5, 2016, from HYPERLINK "http://medicaltourismbusiness.com/medical-tourism-statistics-and-facts/" http://medicaltourismbusiness.com/medical-tourism-statistics-and-facts/#
MTA- Medical Tourism Survey. (2010). Retrieved October 10, 2016, from Medical Tourism Association: http://www.medicaltourismassociation.com/en/research-and-surveys.html
Meghani, Z. (2013). The ethics of medical tourism: From the United Kingdom to India seeking medical care. International Journal of Health Services, 43 (4), 779-800.
Michael, H. C. (2011). Health and Medical Tourism: A Kill or Cure for Global Public Health. Tourism Review AIEST - International Association of Scientific Experts in Tourism ,66 (2), 4-15.
Newman, B. Y. (2006). Medical Tourism. Journal of the American Optometric Association, 77 (12), 581.
Nolan, J., & Schneider, M. (2006). Miracles in the Mountains: Medical Tourism in Rural Arkansas’ Ozark and Ouachita Mountains. (B. J. Duggan, & S. Folmar, Eds.) Athens: University of Georgia Press.
Noree, T., Hanefeld, J., & Smith, R. (2016). Medical Tourism in Thailand: a cross-sectional study. Bulletin World Health Organization , 94 (1), 30-36.doi: 10.2471/BLT.14.152165.
Ormond, M., & Sulianti, D. (2014). More than medical tourism: Lessons from Indonesia and Malaysia on South-South intra-regional medical travel. Current issues in Tourism , doi: 10.1080/13683500.2014.937324.
Paul, B. K. (1999). National health care ‘by-passing’ in Bangladesh: A comparative study. Social Science & Medicine, 49 (5), 679-689.
Pedroso, I., Bringas, M. L., Aguiar, A., Morales, L., Álvarez, M., Valdés, P., et al. (2012). Use of Cuban Recombinant Human Erythropoietin in Parkinson's Disease Treatment. Medicc Review , 14 (1), 11-17.
PGPF-Peter G. Peterson Foundation charts on Long Term Fiscal Policy (2016). Retrieved October 12, 2016, from The Fiscal and Economic Impact: HYPERLINK "http://www.pgpf.org/the-fiscal-and-economic-challenge/fiscal-and-economic-impact" http://www.pgpf.org/the-fiscal-and-economic-challenge/fiscal-and-economic-impact
Ramirez de Arellano, A. B. (2007). Patients Without borders: The emergence of medical tourism. International Journal of Health Services Planning Administration Evaluation ,37 (1), 193-198.
Reddy, S. G., York, V. K., & Brannon, L. A. (2010). Travel for treatment: Students' perspective on medical tourism. International Journal of Tourism Research , 12 (5), 510-522.
Reis, D. (2014). Trade in Health, Economics, Ethics and Public policy. Cheltenham: Edward Elgar.
Ruka, E., & Garel, P. (2015). Medical Tourism. Brussels: Hope Publications.
Runnels, V., & Carrera, P. M. (2012). Why do patients engage in medical tourism. Maturitas ,73 (4), 300-304.
Runnels, V., & Turner, L. (2011). Bioethics and transnational medical travel: India, "medical tourism" and the globalisation of healthcare. Indian Journal of Medical Ethics, 8 (1), 42-44.
Sharafuddin, M. A. (2015). Sidha and Wellness Tourism: Opportunities and Challenges For "Brand Tamilnadu". International Journal of Research in Ayurveda and Pharmacy , 387-394.
Shenfield, F., de Mouzon, J., Pennings, G., Ferraretti, A., Andersen, A., de Wert, G., et al. (2010). Cross border reproductive care in six European countries. Human Reproduction ,25 (6), 1361-1368.
Singh, N. (2013). Exploring the factors influencing the travel motivations of US medical tourists. Current Issues in Tourism , 16 (5), 436-454.
Smith, R. D. (2004). Foreign direct investment and trade in health services: a review of the literature. Social science and Medicine , 59 (11), 2313-2323.
Smith, C., & Jenner, P. (2000). Health tourism in Europe. Travel & Tourism Analyst ,1, 41-59.
Smith, P. C., & Forgione, D. A. (2007). Global outsourcing of healthcare: A medical tourism decision model. Journal of Information Technology Case and Application Research ,9 (3), 19-30.
Snyder, J., Dharamsi, S., & Crooks, V. (2011). Fly-By medical care: Conceptualizing the global and local social responsibilities of medical tourists and physician voluntourists. Globalization and Health , 7-6.
Stolley, K., & Watson, S. (2012). Medical Tourism. Santa Barbara, CA: ABC-CLIO.
Tattara, G. (2010). Medical Tourism and Domestic Population Health. Department of Economics Research Paper Series No. 02-10. Venezia: University Ca' Foscari of Venice.
Tuner, L. (2007). First world health care at third world prices: Globalization, Bioethics and Medical Tourism. Biosocieties, 2 (3), 303-325.
Turner, L. (2007). Medical tourism - Family medicine and international health related travel. Canadian Family Physician Medecin De Famille Canadien , 53 (10), 1639-1641.
Turner, L. (2008). Medical tourism" initiatives should exclude commercial organ transplantation. Journal of the Royal Society of Medicine, 101 (8), 391-394.
UN WTO tsa. (2011). Retrieved October 5, 2016, from Statistics UNWTO: http://statistics.unwto.org/sites/all/files/pdf/unwto_tsa_1.pdf
Vrkljan, S., & Hendija, Z. (2016). Business performance of health tourism service providers in the republic of Croatia. Acta Clin Croat , 55, 79-86. doi: 10.20471/acc.2016.55.01.12.
Whittaker, A. (2008). Pleasure and pain: Medical travel in Asia. Global Public Health , 3 (3), 271-290.
Woodman, J. (2008, October). 7 Reasons to Consider Travelling for Medical Care. Retrieved October 7, 2016, from US News: http://health.usnews.com/health-news/articles/2008/10/01/7-reasons-to-consider-traveling-for-medical-care on
Woodman, J. (2007). Patient Beyond Border: Everybody’s guide to affordable, World-Class Medical Tourism. Chapel Hill, NC: Health Travel Media.
Ye, B. H., Qiu, H. Z., & Yuen, P. P. (2011). Motivations and experiences of Mainland Chinese Medical Tourists in Hong Kong. Tourism Management, 32 (5), 1125-1127.
Yeoh, E., Othman, K., & Ahmad, H. (2013). Understanding medical tourists: Word-of-mouth and viral marketing as potent marketing tools. Tourism Management , 34, 196-201. doi:10.1016/j.tourman.2012.04.010.
Yeung, O., Johnston, K., & Chan, N. (2013). The Global Wellness Tourism Economy. New York: Global Wellness Institute & SRI International.
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