Wikipedia

Medical tourism

(Redirected from Global Healthcare)

Medical tourism is the practice of traveling abroad to obtain medical treatment. In the past, this usually referred to those who traveled from less-developed countries to major medical centers in highly developed countries for treatment unavailable at home.[1][2] However, in recent years it may equally refer to those from developed countries who travel to developing countries for lower-priced medical treatments. With differences between the medical agencies, such as the Food and Drug Administration (FDA) or the European Medicines Agency (EMA), etc., which decide whether a drug is approved in their country or region, or not, the motivation may be also for medical services unavailable or non-licensed in the home country.

Medical tourism most often is for surgeries (cosmetic or otherwise) or similar treatments, though people also travel for dental tourism or fertility tourism.[3] People with rare conditions may travel to countries where the treatment is better understood. However, almost all types of health care are available, including psychiatry, alternative medicine, convalescent care, and even burial services.

Health tourism is a wider term for travel that focuses on medical treatments and the use of healthcare services. It covers a wide field of health-oriented tourism ranging from preventive and health-conductive treatment to rehabilitational and curative forms of travel. Wellness tourism is a related field.

History

edit

The first recorded instance of people traveling for medical treatment dates back thousands of years to when Greek pilgrims traveled from the eastern Mediterranean to a small area in the Saronic Gulf called Epidauria.[4] This territory was the sanctuary of the healing god Asklepios.

Spa towns and sanitaria were early forms of medical tourism. In 18th-century Europe patients visited spas because they were places with supposedly health-giving mineral waters, treating diseases from gout to liver disorders and bronchitis.[5]

Description

edit

Factors that have led to the increasing popularity of medical travel include the high cost of health care, long wait times for certain procedures, the ease and affordability of international travel, and improvements in both technology and standards of care in many countries.[6][7] The avoidance of waiting times is the leading factor for medical tourism from the UK, whereas in the US, the main reason is cheaper prices abroad. Furthermore, death rates even in the developed countries differ extremely.[8][9][10]

Many surgical procedures performed in medical tourism destinations cost a fraction of the price they do in other countries. For example, in the United States, a liver transplant that may cost US$300,000, would generally cost about US$91,000 in Taiwan.[11] A large draw to medical travel is convenience and speed. Countries that operate public health-care systems often have long wait times for certain operations, for example, an estimated 782,936 Canadian patients spent an average waiting time of 9.4 weeks on medical waiting lists in 2005.[12] Canada has also set waiting time benchmarks for non-urgent medical procedures, including a 26-week waiting period for a hip replacement and a 16-week wait for cataract surgery.[13]

In developed countries such as the United States, medical tourism has large growth prospects and potentially destabilizing implications. A forecast by Deloitte Consulting published in August 2008 projected that medical tourism originating in the US could jump by a factor of ten over the next decade. An estimated 750,000 Americans went abroad for health care in 2007, and the report estimated that 1.5 million would seek health care outside the US in 2008. The growth in medical tourism has the potential to cost US health care providers billions of dollars in lost revenue.[14]

Manish Chandra, Co founder of Vaidam Health stated that " Medical tourism is a rapidly expanding sector within India's healthcare industry, offering immense potential. Over the years, a significant number of people have traveled across continents seeking medical care due to factors such as cost-effectiveness, faster and more efficient services, specialized healthcare, and advanced treatment options that may not be available in their home countries. Industry reports indicate that India's healthcare industry is projected to reach $280 billion by 2020, which will likely enhance the quality and scope of medical treatment offered by hospitals".[15]

An authority at the Harvard Business School stated that "medical tourism is promoted much more heavily in the United Kingdom than in the United States".[16]

Additionally, some patients in some First World countries are finding that insurance either does not cover orthopedic surgery (such as knee or hip replacement) or limits the choice of the facility, surgeon, or prosthetics to be used.

Popular medical travel worldwide destinations include: Canada, Cuba, Costa Rica, India, Israel, Jordan, Malaysia, Mexico, Singapore, South Korea, Taiwan, Thailand, Turkey, United States.[17][18]

Popular destinations for cosmetic surgery include: Argentina, Brazil, Costa Rica, Greece, India, Italy, Malaysia, Mexico, the Philippines, Poland, South Korea, South Africa, Turkey and Thailand.[19]

Some people travel for assisted pregnancy, such as in-vitro fertilization, or surrogacy,[20] or freezing embryos for retro-production.[21]

However, perceptions of medical tourism are not always positive. In places like the US, which has high standards of quality, medical tourism is viewed as risky. In some parts of the world, wider political issues can influence where medical tourists will choose to seek out health care.

Medical tourism providers have developed as intermediaries which unite potential medical tourists with surgeons, provider hospitals and other organizations. In some cases, surgeons from the United States have signed up with medical tourism providers to travel to Mexico to treat American patients. The hope is that using an American surgeon may alleviate concerns about going outside the country, and persuade self-insured American employers to offer this cost-effective option to their workers as a way to save money while still provide high-quality care.[22] Companies that focus on medical value travel typically provide nurse case managers to assist patients with pre- and post-travel medical issues. They may also help provide resources for follow-up care upon the patient's return.

Circumvention tourism is also an area of medical tourism that has grown. Circumvention tourism is travel in order to access medical services that are legal in the destination country but illegal in the home country. This can include travel for fertility treatments that are not yet approved in the home country, abortion, and doctor-assisted suicide.[23] Abortion tourism can be found most commonly in Europe, where travel between countries is relatively simple. Poland, a European country with highly restrictive abortion laws, has one of the highest rates of circumvention tourism, as did Ireland before abortion was made legal in 2018. In Poland especially, it is estimated that each year nearly 7,000 women travel to the UK, where abortion services are free through the National Health Service.[24] There are also efforts being made by independent organizations and doctors, such as with Women on Waves, to help women circumvent laws in order to access medical services. With Women on Waves, the organization uses a mobile clinic aboard a ship to provide medical abortions in international waters, where the law of the country whose flag is flown applies.[25]

Dental tourism is travel for cheaper dentistry or oral surgery. The same porcelain veneer made in a lab in Sweden can be as much as 2500 AUD in Australia, but only 1200 AUD in India. The price difference here is not explainable by reference to the material cost.[26]

International healthcare accreditation

edit
Main article: International healthcare accreditation

International healthcare accreditation is the process of certifying a level of quality for healthcare providers and programs across multiple countries. International healthcare accreditation organizations certify a wide range of healthcare programs such as hospitals, primary care centers, medical transport, and ambulatory care services.[27] There are a number of accreditation schemes available based in a number of different countries around the world.

The oldest international accrediting body is Accreditation Canada, formerly known as the Canadian Council on Health Services Accreditation,[28] which accredited the Bermuda Hospital Board as soon as 1968. Since then, it has accredited hospitals and health service organizations in ten other countries. In the United States, the accreditation group Joint Commission International (JCI) was formed in 1994 to provide international clients education and consulting services.[29] Many international hospitals today see obtaining international accreditation as a way to attract American patients.[30]

Joint Commission International is a relative of the Joint Commission in the United States. Both are US-style independent private sector not-for-profit organizations that develop nationally and internationally recognized procedures and standards to help improve patient care and safety. They work with hospitals to help them meet Joint Commission standards for patient care and then accredit those hospitals meeting the standards.[31]

A British scheme, QHA Trent Accreditation, is an active independent holistic accreditation scheme, as well as GCR.org which monitors the success metrics and standards of almost 500,000 medical clinics worldwide.[32]

The different international healthcare accreditation schemes vary in quality, size, cost, intent and the skill and intensity of their marketing. They also vary in terms of cost to hospitals and healthcare institutions making use of them.[33]

Increasingly, some hospitals are looking towards dual international accreditation, perhaps having both JCI to cover potential US clientele, and Accreditation Canada or QHA Trent. As a result of competition between clinics for American medical tourists, there have been initiatives to rank hospitals based on patient-reported metrics.[34]

Risks and criticism

edit

Medical tourism carries some risks that locally provided medical care either does not carry or carries to a much lesser degree.

Some countries, such as South Africa, or Thailand have very different infectious disease-related epidemiology to Europe and North America. Exposure to diseases without having built up natural immunity can be a hazard for weakened individuals, specifically with respect to gastrointestinal diseases (e.g. hepatitis A, amoebic dysentery, paratyphoid) which could weaken progress and expose the patient to mosquito-transmitted diseases, influenza, and tuberculosis. However, because in poor tropical nations diseases run the gamut, doctors seem to be more open to the possibility of considering any infectious disease, including HIV, TB, and typhoid, while there are cases in the Western world where patients were consistently misdiagnosed for years because such diseases are perceived to be "rare" in the West.[35][better source needed]

The quality of post-operative care can also vary dramatically, depending on the hospital and country, and may be different from US or European standards. Also, traveling long distances soon after surgery can increase the risk of complications. Long flights and decreased mobility associated with window seats can predispose one towards developing deep vein thrombosis and potentially a pulmonary embolism.[36] Other vacation activities can be problematic as well — for example, scars may become darker and more noticeable if they are sunburned while healing.[37]

Also, health facilities treating medical tourists may lack an adequate complaints policy to deal appropriately and fairly with complaints made by dissatisfied patients.[38]

Differences in healthcare provider standards around the world have been recognized by the World Health Organization, and in 2004 it launched the World Alliance for Patient Safety. This body assists hospitals and government around the world in setting patient safety policy and practices that can become particularly relevant when providing medical tourism services.[39]

Patients traveling to countries with less stringent surgical standards may be at higher risk for complications.[40] If there are complications, the patient may need to stay in the foreign country for longer than planned or if they have returned home, will not have easy access to follow up care.[41]

Patients sometimes travel to another country to obtain medical procedures that doctors in their home country refuse to perform because they believed that the risks of the procedure outweigh the benefits. Such patients may have difficulty getting insurance (whether public or private) to cover follow up medical costs should the feared complications indeed arise.

edit

Receiving medical care abroad may subject medical tourists to unfamiliar legal issues.[42] The limited nature of litigation in various countries is a reason for accessibility of care overseas. While some countries currently presenting themselves as attractive medical tourism destinations provide some form of legal remedies for medical malpractice, these legal avenues may be unappealing to the medical tourist. Should problems arise, patients might not be covered by adequate personal insurance or might be unable to seek compensation via malpractice lawsuits. Hospitals and/or doctors in some countries may be unable to pay the financial damages awarded by a court to a patient who has sued them, owing to the hospital and/or the doctor not possessing appropriate insurance cover and/or medical indemnity.[43]

Issues can also arise for patients who seek out services that are illegal in their home country. In this case, some countries have the jurisdiction to prosecute their citizen once they have returned home, or in extreme cases extraterritorially arrest and prosecute.[23] In Ireland, especially, in the 1980s-90s there were cases of young rape victims who were banned from traveling to Europe to get legal abortions. Ultimately, Ireland's Supreme Court overturned the ban; they and many other countries have since created "right to travel" amendments.[23][44]

Ethical issues

edit

There can be major ethical issues around medical tourism.[42] For example, the illegal purchase of organs and tissues for transplantation had been methodically documented and studied in countries such as China,[45] Pakistan,[46] Colombia[47] and the Philippines.[48] The Declaration of Istanbul distinguishes between ethically problematic "transplant tourism" and "travel for transplantation".[49]

Medical tourism may raise broader ethical issues for the countries in which it is promoted. For example, in India, some argue that a "policy of "medical tourism for the classes and health missions for the masses" will lead to a deepening of the inequities" already embedded in the health care system.[50] In Thailand, in 2008 it was stated that, "Doctors in Thailand have become so busy with foreigners that Thai patients are having trouble getting care".[51] Medical tourism centered on new technologies, such as stem cell treatments, is often criticized on grounds of fraud, blatant lack of scientific rationale and patient safety. However, when pioneering advanced technologies, such as providing "unproven" therapies to patients outside of regular clinical trials, it is often challenging to differentiate between acceptable medical innovation and unacceptable patient exploitation.[52][53]

Medical volunteerism as tourism

edit

The field of the medical tourism (referring to volunteers who travel overseas to deliver medical care) has recently attracted negative criticism when compared to the alternative notion of sustainable capacities, i.e., work done in the context of long-term, locally-run, and foreign-supported infrastructures. A preponderance of this criticism appears largely in scientific and peer-reviewed literature.[54][55][56] Recently, media outlets with more general readerships have published such criticisms as well.[57]

Employer-sponsored health care in the US

edit

Some US employers have begun exploring medical travel programs as a way to cut employee health care costs. Such proposals have raised stormy debates between employers and trade unions representing workers, with one union stating that it deplored the "shocking new approach" of offering employees overseas treatment in return for a share of the company's savings. The unions also raise the issues of legal liability should something go wrong, and potential job losses in the US health care industry if treatment is outsourced.[58]

Employers may offer incentives such as paying for air travel and waiving out-of-pocket expenses for care outside of the US. For example, in January 2008, Hannaford Bros., a supermarket chain based in Maine, began paying the entire medical bill for employees to travel to Singapore for hip and knee replacements, including travel for the patient and companion.[59] Medical travel packages can integrate with all types of health insurance, including limited benefit plans,[60] preferred provider organizations and high deductible health plans.

In 2000, Blue Shield of California began the United States' first cross-border health plan. Patients in California could travel to one of the three certified hospitals in Mexico for treatment under California Blue Shield.[61] In 2007, a subsidiary of BlueCross BlueShield of South Carolina, Companion Global Healthcare, teamed up with hospitals in Thailand, Singapore, Turkey, Ireland, Costa Rica and India.[62] A 2008 article in Fast Company discusses the globalization of healthcare and describes how various players in the US healthcare market have begun to explore it.[63]

Impact of COVID-19 on medical tourism

edit

The growth of Global Medical Tourism in the last decade has influenced overall growth of health care sector. Due to the multidimensional impact of the Pandemic COVID-19 in the form of a global healthcare crisis, falling global economy, restricted international travel, the medical tourism industry is undergoing a substantial decline.[64]

The CDC has listed various levels of different destinations or countries that are ranked from 1 to 3, with 1 and 2 considered safe to travel. A destination ranked level-3 is considered a warning not to travel to that area.[65]

COVID-19 vaccine tourism

edit

In the later half of February 2021, it was reported that wealthy and influential people from Canada[66] and European countries flew to the United Arab Emirates to secure early access to the COVID-19 vaccine.[67] The UAE promoted Dubai as a vaccine holiday hub for the wealthy, who could pay large sums of money to get inoculated before they became eligible in their home countries.[68]

In January 2021, Canadian snowbirds traveled to the United States (specifically Florida and Arizona) via air charter for quicker access to the COVID-19 vaccine.[69]

Destinations

edit

Africa and the Middle East

edit

Iran

edit

In 2012, 30,000 people came to Iran to receive medical treatment.[70] In 2015, it is estimated that between 150,000 and 200,000 health tourists came to Iran, and this figure is expected to rise to 500,000 a year.[71] Iran medical services are low cost in the fields of cosmetic and plastic surgeries, infertility treatment and dentistry services.[72] According to a report in 2016 by Big Market Research, the global medical tourism market is expected to reach $143 billion by 2022. It was reported in May that the number of tourists traveling to Iran for advanced medical services has grown by 40% over past five years.[73][74]

Israel

edit
See also: Medical tourism in Israel

Israel is a popular destination for medical tourism.[75] Many medical tourists to Israel come from Europe, particularly the former Soviet Union, as well as the United States, Australia, Cyprus, and South Africa. Medical tourists come to Israel for a variety of surgical procedures and therapies, including bone marrow transplants, heart surgery, and catheterization, oncological and neurological treatments, orthopedic procedures, car accident rehabilitation, and in-vitro fertilization. Israel's popularity as a destination for medical tourism stems from its status as a developed country with a high-quality level of medical care, while at the same time having lower medical costs than many other developed countries. Israel is particularly popular as a destination for bone marrow transplants among Cypriots, as the procedure is not available in Cyprus, and for orthopedic procedures among Americans, as the cost of orthopedic procedures in Israel is about half that of in the United States. Israel is a particularly popular destination for people seeking IVF treatments. Medical tourists in Israel use both public and private hospitals, and all major Israeli hospitals offer medical tourism packages which typically cost far less than comparable procedures than in facilities elsewhere with a similarly high standard of care. In 2014, it was estimated that roughly 50,000 medical tourists came to Israel annually.[76][77][78][79] There are reports that these medical tourists obtain preferential treatment, to the detriment of local patients.[75] In addition, some people come to Israel to visit health resorts at the Dead Sea,[75] and on Lake Kinneret.

Jordan

edit

Jordan, through their Private Hospitals Association, attracted 250,000 international patients accompanied by more than 500,000 companions in 2012, with total revenues exceeding 1B US$.[80] Jordan won the Medical Destination of the year award in 2014 in the IMTJ Medical Travel Awards.[80]

South Africa

edit

South Africa is the first country in Africa to emerge as a medical tourism destination.[81]

Tunisia

edit

On the African scale, Tunisia ranks second in the field of health tourism. It is also named the world's second best thalassotherapy destination, behind France.[82]

United Arab Emirates

edit

United Arab Emirates, especially Dubai, Abu Dhabi, Ras Al Khaimah is a popular destination for medical tourism. The Dubai Health authority has been spearheading medical tourism into UAE, especially Dubai. However, hospitals providing medical tourism are spread all over the seven emirates. UAE has the distinction of having the maximum number of JCI accredited hospitals (under various heads).[83] UAE has inbound medical tourism as well as people going out for medical treatment. The inbound tourism usually is from African countries like Nigeria, Kenya, Uganda, Rwanda, etc. The outbound can be categorized into two segments - the local population (citizens of UAE) and the expats. The locals prefer to go to European destinations like the UK, Germany etc. The expats prefer to go back to their home countries for treatment.

Americas

edit

Brazil

edit

In Brazil, Albert Einstein Hospital in São Paulo was the first JCI-accredited facility outside of the US,[84] and more than a dozen Brazilian medical facilities have since been similarly accredited.[85]

Canada

edit

In comparison to US health costs, patients can save 30 to 60 percent on health costs in Canada.[86]

In the early 1990s, Americans illegally using counterfeit, borrowed, or fraudulently obtained Canadian health insurance cards to obtain free healthcare in Canada became a serious issue due to the high costs it imposed.[87]

Costa Rica

edit

In Costa Rica, there are two Joint Commission International accredited (JCI) hospitals. Both are in San Jose, Costa Rica. When the World Health Organization (WHO) ranked the world's health systems in the year 2000, Costa Rica was ranked as no. 26, which was higher than the US, and together with Dominica it dominated the list among the Central American countries.[88]

The Deloitte Center for Health Solutions in 2008 reported a cost savings average of between 30 and 70 percent of US prices.[89] In 2019 a knee operation in Clinica Biblica which would have cost around $44,000 in the USA cost $12,200.[90]

Cayman Islands

edit
Main article: Health City Cayman Islands

Cuba

edit
Main article: Health care in Cuba § Health tourism

Dominican Republic

edit

The Dominican Republic has been a popular destination for US medical tourists, because it is fairly close. Since 2003, the CDC has reported adverse events after cosmetic surgery, particularly due to liposuction in combination with gluteal fat transfer, abdominoplasty, and breast augmentation. During 2009–2022, 93 U.S. citizens died after cosmetic surgery in the Dominican Republic, and 90% of autopsy-confirmed deaths were due to embolism; in 55% due to fat embolism and in 35% due to pulmonary venous thromboembolism.[91]

Mexico

edit

Mexico has 98 hospitals accredited by the country's Federal Health Ministry and seven hospitals which are JCI-accredited. Mexico is most reputed for advanced care in dentistry and cosmetic surgery.

In recent years, Los Algodones, Baja California, a settlement of fewer than 6,000 people located on the US border near Yuma, Arizona, has become a major destination for Americans and Canadians seeking dental services. Roughly 600 dentists practice in the community, catering mainly to tourists, leading the community to be nicknamed "Molar City".[92][93]

United States

edit
Main article: Health care in the United States

A 2015 report from the United States International Trade Commission found that between 150,000 and 320,000 medical tourists from the United States were traveling worldwide for the purpose of receiving in-patient medical care.[94][95] While some have estimated that 750,000 American medical tourists traveled from the United States to other countries in 2007 (up from 500,000 in 2006),[96] according to the McKinsey report,[97] 45% of North American medical tourists travel to Asia, 26% go to Latin America, 2% go to the Middle East, and 27% travel to another country in North America. None travel to Europe.

The availability of advanced medical technology and sophisticated training of physicians are cited as driving motivators for growth in foreigners traveling to the US for medical care,[94] whereas the low costs for hospital stays and major/complex procedures at Western-accredited medical facilities abroad are cited as major motivators for American travelers.[96] Also, the decline in value of the US dollar between 2007 and 2013 used to offer additional incentives for foreign travel to the US, although cost differences between the US and many locations in Asia are larger than any currency fluctuations.

Several major medical centers and teaching hospitals offer international patient centers that cater to patients from foreign countries who seek medical treatment in the US.[98] Many of these organizations offer service coordinators to assist international patients with arrangements for medical care, accommodations, finances and transportation including air ambulance services.

Asia and the Pacific Islands

edit

China

edit
Main article: Healthcare in China

Ctrip's 2016 Online Medical Tourism Report indicates that the number of travelers who enroll in the oversea medical tourism through its platform increased fivefold over the previous year, and more than 500,000 Chinese visitors are expected to go on medical tourism. The top ten medical tourism destinations are Japan, Korea,[99] the US, Taiwan, Germany, Singapore, Malaysia, Sweden, Thailand, and India.[100] Regular health checks made up the majority share of Chinese medical tourism in 2016, representing over 50% of all medical tourism trips for tourists originating in China.[100]

Hong Kong

edit

All twelve of Hong Kong's private hospitals have been surveyed and accredited by the UK's Trent Accreditation Scheme since early 2001.[101]

India

edit
Main article: Medical tourism in India

Medical tourism is a growing sector in India. India is becoming the 2nd medical tourism destination after Thailand. Gurgaon is India's largest Medical Tourism hub,[102] followed by Chennai, which is regarded as "India's Health City" as it attracts 45% of health tourists visiting India and 40% of domestic health tourists.

India's medical tourism sector was expected to experience an annual growth rate of 30% from 2012, making it a $2 billion industry by 2015.[103][104]

In August 2019, the Indian government made it easier for foreigners to receive medical treatment without necessarily applying for a medical visa. These initiatives by Indian government are help Medical Tourism market to reach around $9 Billion in 2020. Furthermore, the major reason for foreign tourist to choose India is because it has 40 hospitals accredited by the US Joint Commission.[105][106]

As medical treatment costs in the developed world balloon—with the United States leading the way—more and more Westerners are finding the prospect of international travel for medical care increasingly appealing. An estimated 150,000 of these travel to India for low-priced healthcare procedures every year.

India is increasingly becoming popular with Africans seeking medical treatment overseas. Treatments are approved by the World Health Organization (WHO) and the US Food and Drug Administration.[107]

The Government has also started various initiative that can be of great push to help international patients get the right kind of treatment at affordable prices.

Malaysia

edit
Main article: Medical tourism in Malaysia

The majority of the foreign patients seeking medical treatments in Malaysia are from Indonesia, with smaller numbers of foreign patients coming from India, Singapore, Japan, Australia, Europe, the US and the Middle East. In 2008, Indonesians comprised 75% of all foreign patients receiving care in Malaysia; Europeans, 3%; Japanese, 3%; Singaporeans, 1% and citizens from Middle Eastern countries, 1%. By 2011, Indonesians comprised 57% of all foreign patients in Malaysia as the number of patients of other nationalities grew.[citation needed]

Health insurance companies in Singapore have recently permitted their policyholders to be treated in Malaysia where services are cheaper than in Singapore.[citation needed]

New Zealand

edit
Main article: Health care in New Zealand

In 2008, it was estimated that on average New Zealand's surgical costs are around 15 to 20% the cost of the same surgical procedure in the USA.[108]

Pakistan

edit
Main article: Medical tourism in Pakistan

Pakistan has four Joint Commission International (JCI) accredited hospitals in Pakistan. Mostly people travel for treatments in Pakistan from Afghanistan, Iran, United Kingdom, Middle East and United States.[citation needed]

Singapore

edit

Singapore has a dozen hospitals and health centers with JCI accreditation.[109] In 2013 medical expenditure generated from medical tourists, mostly from more complex medical procedures, such as heart surgery, was S$832 million, a decline of 25 percent from 2012's S$1.11 billion, as the hospitals faced more competition from neighboring countries for less complex work.[110]

Thailand

edit
Main articles: Health in Thailand and Tourism in Thailand

Foreigners seeking treatment for everything from open-heart surgery to fertility treatments have made Thailand and its accredited hospitals a popular destination for medical tourism, attracting an estimated 2.81 million patients in 2015, up 10.2 percent.[111] In 2013, medical tourists spent as much as US$4.7 billion, according to government statistics.[112] As of 2019, with 64 accredited hospitals, Thailand is currently among the top 10 medical tourism destinations in the world. In 2017, Thailand registered 3.3 million visits by foreigners seeking specialized medical treatment. In 2018, this number grew to 3.5 million.[113]

Europe

edit

Even within Europe, although therapy protocols might be approved by the European Medicines Agency (EMA), several countries have their own review organizations in order to evaluate whether the same therapy protocol would be "cost-effective", so that patients face differences in the therapy protocols, particularly in the access of these drugs, which might be partially explained by the financial strength of the particular Health System.

In 2006, it was ruled that under the conditions of the E112 European health scheme, UK health authorities had to pay the bill if one of their patients could establish urgent medical reasons for seeking quicker treatment in another European union country.[114]

The European directive on the application of patients' rights to cross-border healthcare was agreed in 2011.[115]

An online survey of EU migrants, mostly from Poland, Hungary and Romania, in the UK by the Centre for Population Change in 2019 showed that 46% of them preferred the health system in their country of origin. Only 36% preferred NHS medical treatment, and fewer among those from Western Europe.[116]

Turkey

edit

The cost of medical recourses in Turkey is quite affordable compared to Western European countries. Therefore, thousands of people each year travel to Turkey for their medical treatments.[117] Turkey is especially becoming a hub for hair transplant surgery.[118] Almost 178,000 tourists visited for health purposes in the first six months of 2018. 67% used private hospital, 24% public hospitals and 9% university hospitals. The Regulation on International Health Tourism and Tourist Health came into force on 13 July 2017. It only applies to those coming specifically for treatment.[119] USHAŞ was established in 2019 by Turkish Ministry of Health to promote and regulate medical tourism in Turkey.[120] [121]

Albania

edit

Albania become a health target for Italian and few other European countries mostly in aesthetic surgery. Albania has invested in attracting not only international patients but also staff with mostly Italian doctors. As recognized by AP news KEIT Day Hospital was built in 2011 with international patient in mind. Albania is also known for dental tourism, where over 200 dental clinics are providing services to international patients.[122]

Azerbaijan

edit

Azerbaijan is a target of health tourists from Iran, Turkey, Georgia and Russia. The Bona Dea International Hospital in Baku was built in 2018 to attract international patients, and has staff from various European countries.[123]

Croatia

edit

Croatia has some claims to be the oldest health tourism destination in Europe, as the Hygienic Association of Hvar was founded in 1868.[124]

Finland

edit

On December 9, 2013, the City of Helsinki decided that all minors under the age of 18 and all pregnant mothers living in Helsinki without a valid visa or residence permit are granted the right to the same health care and at the same price as all citizens of the city.

Volunteer doctors of Global Clinic have tried to help these people, for whom only acute care has been available. This means that the Finnish health care system is open for all people coming outside of the European Union.

France

edit

British NHS patients have been offered treatment in France to reduce waiting lists for hip, knee and cataract surgery since 2002.[125] France is a popular tourist destination but also ranked the world's leading health care system by the World Health Organization.[126] European Court of Justice said that National Health Service (England) has to pay back British patients.[127]

The number of patients is growing, and in 2016, France scored # 7 in the Medical Tourism Index.[128]

Germany

edit

In 2017 there were said to be around 250,000 foreign patients who brought more than 1.2 billion euros income to German hospitals. Some were visitors who fell ill unexpectedly, but it is estimated that more than 40 percent came for planned treatment, the majority from Poland, the Netherlands or France. There have long been medical tourists from the Middle East. University hospitals and the large municipal clinics, such as University Hospital Freiburg or Vivantes in Berlin, are the most popular destinations.[129] Some require payment in full before they start treatment.[130]

The Hallwang Clinic GmbH is said to be the most high-profile clinic in the European private cancer industry, centred in Germany, which attracts patients from the US, the UK, Australia and the Middle East,[131] offering a variety of different treatments, some of which do not appear to be evidence based; the clinic has been accused of selling false hope.[132]

Greece

edit

Greece starts playing a major role in the field of medical tourism worldwide; while it has always been a notable tourist destination, improvements in healthcare services and medical professionals' training account expanding Greece as a destination for international patients.[133]

Hungary

edit

During the Goulash Communism era, Germans and Austrian tourists in Hungary also began visiting dentists. As of 2015 Mosonmagyaróvár had about 350 dental clinics, more per capita than anywhere else on Earth. Prices for dental procedures are one third to one half of the price in Vienna, Austria, 60 km (37 mi) away, and one quarter that of Switzerland or Denmark. An Austrian can be treated during a day trip, or also have a vacation in the area for the price of one or two nights in a Vienna hotel.[134]

Lithuania

edit

Health Tourism Lithuania, a booking agent, was established in 2018, focusing on the Scandinavian market, but in 2019 in response to longer waiting lists in the NHS noticed an increase in enquiries about hip replacements, in addition to the existing interest in cosmetic surgery and dentistry from Britons. A hip replacement costs £3,340, about a third of the price of a commercial procedure in the UK.[135]

Russia

edit

In his address to the Federal Assembly of the Russian Federation dated March 1, 2018, Russian President Vladimir Putin stressed the need to develop health care and export services in the field of medicine and tourism.[136]

In accordance with the decree of the President of the Russian Federation of May 7, 2018 No. 204 "on national goals and strategic objectives of the development of the Russian Federation for the period up to 2024" the volume of exports of medical services by 2024 will have to be $1 billion per year. RAMT in order to implement the Decree of the President of the Russian Federation of 7 May 2018 No. 204, the Federal non-profit organization Russian Association of Medical Tourism was established.

Serbia

edit

Serbia has a variety of clinics catering to medical tourists in areas of cosmetic surgery, dental care, fertility treatment and weight loss procedures.[137] The country is also a major international hub for gender reassignment surgery.[138]

United Kingdom

edit

Both the publicly owned National Health Service and private hospitals attracts medical tourism. Many private hospitals and clinics in the United Kingdom are medical tourism destinations.[139][140] UK private hospitals have mandatory registration with the UK's watchdog, the Care Quality Commission. The vast majority of medical tourism in the UK is attracted to London where there are 25 private hospitals and clinics and 12 private patient units run by NHS hospital trusts. In 2017 there was a 3% decline in the £1.55 billion market because of fewer clients from the Middle East. Overseas patients coming to London are particularly likely to be seeking complex cancer, neurosciences, cardiovascular and pediatric services supported by strong clinical expertise reflected by the leading teaching hospitals based in the UK. Income for NHS providers rose by 9% in 2018–9, pushing the Royal Marsden nearer the 50% statutory limit.[141]

Abuse in the UK
edit

It is alleged that health tourists in the UK often target the NHS for its free-at-the-point-of-care treatment, allegedly costing the NHS up to £200 million.[142] A study in 2013 concluded that the UK was a net exporter of medical tourists, with 63,000 UK residents traveling abroad for treatment and about 52,000 patients getting treatment in UK. Medical tourists treated as private patients by NHS trusts are more profitable than UK private patients, yielding close to a quarter of the revenue from only seven percent of volume of cases. UK dental patients largely go to Hungary and Poland. Fertility tourists mostly travel to Eastern Europe, Cyprus and Spain.[143]

In the summer of 2015 immigration officers from the Border Force were stationed in St George's University Hospitals NHS Foundation Trust to train staff to identify "potentially chargeable patients".[144] In October 2016 the trust announced that it planned to require photo identity papers or proof of their right to remain in the UK such as asylum status or a visa for pregnant women. Those not able to provide satisfactory documents would be sent to the trust's overseas patient team "for specialist document screening, in liaison with the UK Border Agency and the Home Office." It was estimated that £4.6 million a year was spent on care for ineligible patients.[145] A pilot scheme to check whether patients were entitled to free NHS care in 18 NHS trusts, 11 in London, for two months in 2017 asked 8,894 people for two forms of ID prior to non-emergency care. Only 50 were not eligible for free NHS treatment. Campaigners claimed this was "part of the Government's hostile environment policy", and that in Newham hospital "you will see huge signs saying you may not be eligible for free NHS treatment".[146]

The bills issued to patients thought to be ineligible far exceed the sums actually collected. Most trusts do not have dedicated staff for the task. Ineligible patients generally live overseas, many have no money, and some demonstrate that they were eligible for free treatment after invoices had been issued.[147]

See also

edit

Notes

edit
  1. ^ Horowitz, Michael D.; Rosensweig, Jeffrey A.; Jones, Christopher A. (2007). "Medical Tourism: Globalization of the Healthcare Marketplace". MedGenMed. 9 (4): 33. PMC 2234298. PMID 18311383.
  2. ^ "Medical tourism--health care in the global economy" (PDF). Physician Exec. Retrieved 16 September 2012.
  3. ^ Paul McFedries (2006-05-17). "fertility tourism". Word Spy. Archived from the original on 2006-06-01. Retrieved 2011-10-29.
  4. ^ "History of Medical Tourism". Discovermedicaltourism.com. Archived from the original on 2021-04-30. Retrieved 2015-11-03.
  5. ^ Gahlinger, PM (2008). The Medical Tourism Travel Guide: Your Complete Reference to Top-Quality, Low-Cost Dental, Cosmetic, Medical Care & Surgery Overseas. Sunrise River Press.[page needed]
  6. ^ Goering, Laurie (March 28, 2008). "For big surgery, Delhi is dealing". Chicago Tribune. Archived from the original on April 1, 2008.
  7. ^ Tompkins, Olga (2010). "Medical Tourism". AAOHN Journal. 58 (1): 40. doi:10.3928/08910162-20091223-04. PMID 20102121. S2CID 44770932.
  8. ^ Roemer, Marc; Welch, Jennifer (2006), "Changes in Hospitalizations and In-Hospital Deaths in the Initial Period of the COVID-19 Pandemic (April–December 2020), 38 States and DC", Healthcare Cost and Utilization Project (HCUP) Statistical Briefs, Rockville (MD): Agency for Healthcare Research and Quality (US), PMID 36622928, retrieved 2024-08-16
  9. ^ Ruiz, Milagros; Bottle, Alex; Aylin, Paul P. (2015-08-01). "The Global Comparators project: international comparison of 30-day in-hospital mortality by day of the week". BMJ Quality & Safety. 24 (8): 492–504. doi:10.1136/bmjqs-2014-003467. ISSN 2044-5415. PMC 4515980. PMID 26150550.
  10. ^ "Summary Hospital-level Mortality Indicator (SHMI) - Deaths associated with hospitalisation". NHS England Digital. Retrieved 2024-08-16.
  11. ^ Tung, Sarah (July 16, 2010). "Is Taiwan Asia's Next One-Stop Plastic-Surgery Shop?". Time. Archived from the original on July 18, 2010.
  12. ^ "The Private Cost of Public Queues in 2005" (PDF). Fraser Institute.[permanent dead link‍]
  13. ^ "Wait times shorter for some medical procedures: report". Canwest News Service. Archived from the original on 2009-04-27.
  14. ^ Linda A. Johnson (August 3, 2008). "Americans look abroad to save on health care: Medical tourism could jump tenfold in next decade". San Francisco Chronicle.
  15. ^ "Vaidam Fostering Medical Tourism in India - Elets eHealth". eHealth Magazine. 2018-02-20. Retrieved 2024-08-29.
  16. ^ Lagace, Martha (December 17, 2007). "The Rise of Medical Tourism". Harvard Business School Working Knowledge. Archived from the original on 2021-04-27. Retrieved July 1, 2008.
  17. ^ "Quick Facts about Medical Tourism". Patients Beyond Borders.
  18. ^ Turner, L. (2012). "Making Canada a Destination for Medical Tourists: Why Canadian Provinces Should Not Try to Become "Mayo Clinics of the North"". Healthcare Policy. 7 (4): 18–25. doi:10.12927/hcpol.2013.22886. PMC 3359081. PMID 23634159.
  19. ^ "Briefing Paper: Cosmetic Surgery Tourism". plasticsurgery.org.
  20. ^ Jones, CA; Keith, LG (2006). "Medical tourism and reproductive outsourcing: the dawning of a new paradigm for healthcare". Int J Fertil Womens Med. 51 (6): 251–255. PMID 17566566.
  21. ^ Jones, C (2007). "Ethical and legal conundrums of post-modern procreation". Int J Gynaecol Obstet.
  22. ^ Galewitz, Phil (2019-08-12). "To Save Money, American Patients And Surgeons Meet In Cancun". Kaiser Health News. Kaiser Family Foundation. Retrieved 14 August 2019.
  23. ^ a b c Cohen, Glenn (2012). "Circumvention Tourism". Cornell Law Review. 97 (1309): 1309–98. PMID 23072007.
  24. ^ Day, Matthew (March 15, 2010). "Polish women encouraged to come to UK for "free abortions" on NHS". Telegraph Media Group. The Telegraph. Archived from the original on 2022-01-12. Retrieved 28 April 2015.
  25. ^ "Ship campaigns". Women on Waves.
  26. ^ "More Fun Than Root Canals? It's the Dental Vacation". New York Times. 2008-02-07.
  27. ^ Joint Commission International Accreditation & Certificationweb, Joint Commission International, archived from the original on 22 July 2011, retrieved 19 July 2011
  28. ^ "Accreditation Canada History". Retrieved June 12, 2012.
  29. ^ "A Journal Through the History of The Joint Commission" (PDF). The Joint Commission. Archived from the original (PDF) on 2014-04-13. Retrieved 2014-04-13.
  30. ^ Watson, Edward (February 2008). "Accreditation of Overseas Hospitals ~ JCI or Isqua?" (PDF). Medical Tourism Magazine. Medical Tourism Association. p. 12. Archived from the original (PDF) on 2019-04-07.
  31. ^ "Facts about Joint Commission International". Joint Commission. 2008-12-11. Retrieved 2010-09-15.
  32. ^ Lunt, Neil; Horsfall, Daniel; Hanefeld, Johanna (2015). Handbook on Medical Tourism and Patient Mobility. Edward Elgar. ISBN 9781783471195.
  33. ^ "INDIA: Accreditation a must". International Medical Travel Journal. Archived from the original on 2008-06-30.
  34. ^ "Home". World Hospital Monitor. Archived from the original on 2019-04-07. Retrieved 2010-09-15.
  35. ^ "TB Often Misdiagnosed". American Lung Association of Illinois. Archived from the original on March 1, 2007. Retrieved 2007-03-10.
  36. ^ "New DVT Guidelines: No Evidence to Support "Economy Class Syndrome"; Oral Contraceptives, Sitting in a Window Seat, Advanced Age, and Pregnancy Increase DVT Risk in Long-distance Travelers". American College of Chest Physicians. 7 February 2012. Archived from the original on 9 February 2012. Retrieved 10 February 2012.
  37. ^ "Caring for Your Incision After Surgery". FamilyDoctor.org. American Academy of Family Physicians. December 2010. Retrieved July 23, 2013.
  38. ^ "Compliments, Comments, Concerns or Complaints" (PDF). The Pennine Acute Hospitals. Archived from the original (PDF) on 2015-01-01. Retrieved 2015-01-01.
  39. ^ "World Alliance for Patient Safety". Who.int. 2010-05-05. Retrieved 2011-10-29.
  40. ^ Cusumano, Lucas R.; Tran, Vivy; Tlamsa, Aileen; Chung, Philip; Grossberg, Robert; Weston, Gregory; Sarwar, Uzma N. (October 2017). "Rapidly growing Mycobacterium infections after cosmetic surgery in medical tourists: the Bronx experience and a review of the literature". International Journal of Infectious Diseases. 63: 1–6. doi:10.1016/j.ijid.2017.07.022. ISSN 1878-3511. PMID 28780185.
  41. ^ Rough, Ginger (June 7, 2009). "Globe-trotting to cut down on medical costs". The Arizona Republic. Retrieved 1 January 2013.
  42. ^ a b "Medical Tourism: Ethical Pitfalls of Seeking Health Care Overseas". Ahcpub.com. Archived from the original on 2011-07-07. Retrieved 2011-10-29.
  43. ^ "Medical Protection Society | MPS UK". Medicalprotection.org. Retrieved 2011-10-29.
  44. ^ Spreng, Jennifer (2004). Abortion and Divorce Law in Ireland. Jefferson, NC: McFarland & Company, Inc. p. 150. ISBN 978-0786416752.
  45. ^ David Kilgour; David Matas (31 January 2007). "An Independent Investigation into Allegations of Organ Harvesting of Falun Gong Practitioners in China".
  46. ^ "Debt drives kidney harvesting in Pakistan's citrus orchards". Reuters. 2017-09-11. Retrieved 2021-11-16.
  47. ^ Lee Mendoza Roger (2010). "Colombia's organ trade: Evidence from Bogotá and Medellín". Journal of Public Health. 18 (4): 375–384. doi:10.1007/s10389-010-0320-3. S2CID 35056299.
  48. ^ Roger Lee Mendoza (2010). "Price deflation and the underground organ economy in the Philippines". Oxford Journal of Public Health. 33 (1): 101–107. Archived from the original on 2011-03-24.
  49. ^ "The Declaration of Istanbul on Organ Trafficking and Transplant Tourism". Kidney International. 74 (7): 854–59. 2008. doi:10.1038/ki.2008.388. PMC 2813140. PMID 20142924.
  50. ^ "Indian Journal of Medical Ethics". Archived from the original on 30 July 2013. Retrieved 9 June 2015.
  51. ^ "Medical Tourism Creates Thai Doctor Shortage". NPR.org. NPR. Retrieved 2011-10-29.
  52. ^ Lindvall, O; Hyun, I (2011-10-03). "Medical innovation versus stem cell tourism". Science. 324 (5935): 1664–5. doi:10.1126/science.1171749. PMID 19556497. S2CID 27119258.
  53. ^ "ISSCR Guidelines for the Clinical Translation of Stem Cells". 2008. Archived from the original on June 3, 2009.
  54. ^ Bezruchka, S. (2000). "Medical Tourism as Medical Harm to the Third World: Why? For Whom?". Wilderness and Environmental Medicine. 11 (2): 77–78. doi:10.1580/1080-6032(2000)011[0077:mtamht]2.3.co;2. PMID 10921355.
  55. ^ Roberts, M. (2006). "A piece of my mind. Duffle Bag Medicine". Journal of the American Medical Association. 295 (13): 1491–1492. doi:10.1001/jama.295.13.1491. PMID 16595744.
  56. ^ Pinto, A.D.; Upshur, R.E.G. (2009). "Global Health Ethics for Students". Developing World Bioethics. 9 (1): 1–10. doi:10.1111/j.1471-8847.2007.00209.x. PMID 19302567.
  57. ^ Thompson, Jamie (4 November 2016). "Think looking after turtles in Costa Rica for three weeks is good for your CV? Think again". The Conversation. Retrieved 2021-10-19.
  58. ^ "Union Disrupts Plan to Send Ailing Workers to India for Cheaper Medical Care". The New York Times. 2006-10-11.
  59. ^ McGinley, Laurie (February 16, 2008). "Health Matters: The next wave of medical tourists might include you". Wall Street Journal. Retrieved March 13, 2008.
  60. ^ "Mini-Meds: Limited benefit plans provide cost-effective compromise". Houston Business Journal.
  61. ^ "Blue Shield of California Press Release". www.blueshieldca.com. Archived from the original on 29 December 2010. Retrieved 17 January 2022.
  62. ^ Bruce Einhorn (March 13, 2008). "Outsourcing the Patients". BusinessWeek. Archived from the original on March 19, 2008.
  63. ^ Greg Lindsay (May 2008). "Medical Leave". Fast Company. Retrieved October 15, 2008.
  64. ^ "Why Medical Tourism Is Drawing Patients, Even in a Pandemic". New York Times. January 19, 2021.
  65. ^ "Impact Of Coronavirus (COVID-19) On Medical Tourism". Jet Medical Tourism. March 17, 2020.
  66. ^ Vandevelde, Mark; Noonan, Laura; Kerr, Simeon; Borrelli, Silvia Sciorilli (26 February 2021). "Head of Canada's largest pension fund quits after Covid vaccine trip". Financial Times. Archived from the original on 2022-12-11. Retrieved 30 November 2021.
  67. ^ "How global high flyers get vaccinated in the UAE". Financial Times. 9 March 2021. Archived from the original on 2022-12-11. Retrieved 30 November 2021.
  68. ^ "Meet the super-rich skipping the queue for a vaccine vacation". Evening Standard. 2 March 2021. Retrieved 30 November 2021.
  69. ^ "Canadian snowbirds chartering private jets to fly south for faster COVID-19 vaccine access". CTV News. 2021-01-07. Retrieved 2021-03-28.
  70. ^ "Ahmadinejad Stresses Iran's Growing Medical Tourism Industry". Fars News Agency. 2012-01-17. Archived from the original on 2012-02-13. Retrieved 2012-02-05.
  71. ^ "500,000 health tourists coming to Iran for medical treatment". Irna.ir. 8 January 2015. Retrieved 2017-01-08.
  72. ^ "Providing Health Tourism Services in Iran". Global Datikan. Archived from the original on 2021-04-30. Retrieved 2020-09-12.
  73. ^ "More than 600,000 health tourists visit Iran every year". 18 January 2020.
  74. ^ "معاون وزیر خارجه: ایران سال گذشته میزبان ۱.۲ میلیون گردشگر سلامت بود" [Deputy Foreign Minister: Iran hosted 1.2 million health tourists last year] (in Persian). June 2023.
  75. ^ a b c "Health Ministry to probe Israel medical tourism industry following Haaretz exposé". Haaretz. November 18, 2010.
  76. ^ "An overview of medical tourism in Israel". IMTJ. 27 June 2013.
  77. ^ "Israel ranks high as a medical tourism destination". The Times of Israel.
  78. ^ "Doing Fertility Treatments in Israel: Pros and Cons". Haaretz. 2015-03-09.
  79. ^ "Medical tourism – why Israel?". 2015-04-14.
  80. ^ a b "IMTJ MEDICAL TRAVEL AWARDS 2014". Retrieved 2014-04-25.
  81. ^ "Medical tourism in SA". Mediaclubsouthafrica.com. 2009-08-06. Archived from the original on 2018-11-07. Retrieved 2011-10-29.
  82. ^ "Tourisme médical : La Tunisie est classée au 2ème rang en Afrique" [Medical tourism: Tunisia ranked 2nd in Africa] (in French). www.webmanagercenter.com. 2018-03-09. Retrieved 2020-02-05.
  83. ^ "JCI-Accredited Organizations". Joint Commission International.
  84. ^ "Hospital Israelita Albert Einstein Becomes First Hospital Accredited by Joint Commission International" (Blog). PR Newswire. Retrieved 2014-11-12.
  85. ^ "(JCI) Accredited Organizations". Joint Commission International. Archived from the original on 2012-07-28. Retrieved 2011-10-29.
  86. ^ "Evolving medical tourism in Canada" (PDF). Deloitte.com. Retrieved 2017-01-08.
  87. ^ Farnsworth, Clyde H. (1993-12-20). "Americans Filching Free Health Care in Canada". The New York Times. Ontario, Canada; United States. Retrieved 2017-01-08.
  88. ^ "South Korea wants to expand medical tourism beyond cosmetic surgery". Imtj.com. 2009-05-08. Retrieved 2011-10-29.
  89. ^ "Medical Tourism Consumers in Search of Value" (PDF). Deloitte Development LLC. 2008. Archived from the original (PDF) on 2013-01-30.
  90. ^ "I had my misgivings about going abroad for surgery". BBC. 28 March 2019. Retrieved 7 April 2019.
  91. ^ Hudson, Matthew (2024). "Deaths of U.S. Citizens Undergoing Cosmetic Surgery — Dominican Republic, 2009–2022". MMWR. Morbidity and Mortality Weekly Report. 73 (3): 62–65. doi:10.15585/mmwr.mm7303a3. PMC 10824547. PMID 38271279. Retrieved 2024-01-25.
  92. ^ "This tiny Mexican town has more than 350 dentists". Business Insider. Retrieved 27 April 2019.
  93. ^ Young, Jeffrey (2019-11-14). "Welcome to Molar City, Mexico, The Dental Mecca America's Health Care Costs Built". HuffPost. Retrieved 2019-11-15.
  94. ^ a b Allison Van Dusen (May 29, 2008). "U.S. Hospitals Worth The Trip". Forbes. Retrieved 2012-09-17. It narrowly defined medical travelers as only those whose primary and explicit purpose in traveling was to obtain in-patient medical treatment in a foreign country, putting the total number of travelers at 60,000 to 85,000 per year.
  95. ^ Chambers, Arthur (August 2015). "Trends in U.S. Health Travel Services Trade" (PDF). Retrieved October 3, 2023.
  96. ^ a b Fred Hansen (January 2008). "A revolution in healthcare: Medicine meets the marketplace" (PDF). Institute of Public Affairs.
  97. ^ Ehrbeck, Tilman; Guevara, Ceani; Mango, Paul D. (May 2008). Mapping the market for medical travel (PDF) (Report). The McKinsey Quarterly. Archived from the original (PDF) on 2020-11-01.
  98. ^ "International Medical Services". Stanford Hospital & Clinics. Archived from the original on 2010-06-12.
  99. ^ 中国人の韓国美容整形ツーリズム頭打ち 韓国で整形手術を避けるワケ [Chinese cosmetic surgery tourism to Korea has plateaued: Why people are avoiding plastic surgery in Korea]. KoreaWorldTimes (in Japanese). 2020-12-13. Retrieved 2021-06-05.
  100. ^ a b "2016 China Medical Tourism Report". Marcetable. 2017-01-29. Archived from the original on 2019-11-29. Retrieved 2017-02-12.
  101. ^ "Many Congratulations to Hong Kong Hospitals, and thanks to all involved" (PDF). www.1stor.co.uk. p. 2. Archived from the original (PDF) on 27 February 2008. Retrieved 17 January 2022.
  102. ^ "Medical tourism companies turn to telemedicine in wake of Covid-19". Hindustan Times. 2020-05-16. Retrieved 2022-06-18.
  103. ^ "Indian Medical Tourism To Touch Rs 9,500 Crore By 2015". IndianHealthCare.in. The Economic Times. Archived from the original on 2018-02-15.
  104. ^ Hamid, Zubeda (20 August 2012). "The medical capital's place in history". The Hindu. Chennai. Retrieved 15 Sep 2012.
  105. ^ "JCI-Accredited Organizations". Joint Commission International.
  106. ^ Palash, Ghosh (26 November 2019). "India's Medical Tourism Market". International business times. pp. Business. Retrieved 9 December 2019.
  107. ^ Pavithra, Rao (26 March 2017). "India's medical tourism". Africa Renewal. pp. Health & Well being. Retrieved 10 December 2019.
  108. ^ Eleanor Black Watkin (July 8, 2008). "One Company With an Eye on U.S. Customers". The Washington Post. Retrieved 1 January 2013.
  109. ^ Joint Commission International (JCI) Accredited Organizations
  110. ^ "The rise of 5-star hospitals in Singapore". Today on line. 8 March 2016. Retrieved 10 February 2017.
  111. ^ "Medical Tourism in Thailand: When Treatment Costs and Starbucks Clash". Medical Tourism Magazine. 2015-10-13. Archived from the original on 2018-07-10. Retrieved 14 October 2015.
  112. ^ Mellor, William (19 November 2014). "Medical Tourists Flock to Thailand Spurring Post-Coup Economy". Bloomberg. Retrieved 19 February 2015.
  113. ^ Otage, Stephen (12 February 2019). "Uganda: What Uganda Can Learn From Thailand's Medical Tourism". Daily Monitor. Kampala. Retrieved 15 February 2019.
  114. ^ "NHS Waiting lists: targets and England&Wales comparison". Thompsons.law.co.uk. 2006-05-16. Archived from the original on 2014-02-02. Retrieved 2011-10-29.
  115. ^ "Outcomes in EHCI 2015" (PDF). Health Consumer Powerhouse. 26 January 2016. Archived from the original (PDF) on 6 June 2017. Retrieved 27 January 2016.
  116. ^ Worstall, Tim (22 March 2019). "NHS Not Much Cop Say Those Who've Tried Other Health Care Systems". Continental Telegraph. Retrieved 25 March 2019.
  117. ^ "THTC - Turkish Healthcare Travel Council". Archived from the original on 27 March 2018. Retrieved 9 June 2015.
  118. ^ Sarah A. Topol (10 May 2013). "Turkey's Thriving Business in Hair, Beard, and Mustache Implants". Businessweek.com. Retrieved 9 June 2015.
  119. ^ "International Health Tourism in Turkey". Lexology. 8 January 2018. Retrieved 13 February 2019.
  120. ^ "Why Invest in Turkish Medical Technologies Industry?" (PDF). Retrieved 14 January 2022.
  121. ^ "About Us". USHAŞ. Archived from the original on 15 December 2021. Retrieved 14 January 2022.
  122. ^ "KEIT Day Hospital: Elevating Albania as a Premier Destination for Medical Tourism". AP News. 2023-11-17. Retrieved 2024-01-04.
  123. ^ "Azerbaijan Improves Medical Infrastructure To Lure Health-Conscious Travelers". Caspian News. 16 April 2018. Retrieved 7 March 2019.
  124. ^ "History of Tourism from 1868". Total Croatia. 24 October 2011. Archived from the original on 31 May 2019. Retrieved 27 December 2018.
  125. ^ "NHS patients recover after surgery abroad". BBC News. January 19, 2002.
  126. ^ "World Health Organization Assesses the World's Health Systems". Retrieved 13 October 2016.
  127. ^ "BBC NEWS - Health - NHS told to fund treatment abroad". Retrieved 9 June 2015.
  128. ^ "Medical Tourism Index: Destination Ranking". Retrieved 13 October 2016.
  129. ^ "Das Riesengeschäft mit dem Medizintourismus in Deutschland" [The huge business of medical tourism in Germany] (in German). DW. 11 January 2018. Retrieved 7 March 2019.
  130. ^ "Information on Treatment Costs". Heildelberg University. Archived from the original on 18 July 2017. Retrieved 20 March 2019.
  131. ^ "Cancer crowdfunding 'couldn't save my daughter'". BBC. 6 March 2019. Retrieved 6 March 2019.
  132. ^ "The deadly false hope of German alternative cancer clinics". sciencebasedmedicine.org. 26 March 2018. Retrieved 7 March 2019.
  133. ^ "Medical Tourism Market in Greece: Current Trends and the Future".
  134. ^ "Shop frontiers: the rise of cross-border buying around the world". The Guardian. 2 July 2015.
  135. ^ "Lithuania to offer Britons cheap surgery as millions stuck on longest NHS waiting list". Express. 27 May 2019. Retrieved 1 June 2019.
  136. ^ Послание Президента Федеральному Собранию [Message from the President to the Federal Assembly]. kremlin.ru (in Russian). March 2018. Retrieved 16 July 2019.
  137. ^ "Why choose Serbia for medical tourism". Treatmentabroad.com. 2013-10-08. Archived from the original on 2017-02-02. Retrieved 2017-01-08.
  138. ^ Dan Bilefsky (2012-07-23). "Serbia Becomes a Hub for Sex-Change Surgery". The New York Times. Retrieved 2017-01-08.
  139. ^ "The forgotten medical tourism destination". Archived from the original on 26 January 2013. Retrieved 9 June 2015.
  140. ^ "UK: New London agency could promote medical tourism". 20 April 2011.
  141. ^ "Cancer care becomes biggest earner for London's private hospitals". Financial Times. 8 February 2019. Archived from the original on 2022-12-11. Retrieved 19 March 2019.
  142. ^ "Health tourists: How much do they cost and who pays?". Full Fact. 6 September 2015.
  143. ^ Hannefeld, Johanna; Horsfall, Daniel; Lunt, Neil; Smith, Richard (24 October 2013). "Medical Tourism: A Cost or Benefit to the NHS?". PLOS ONE. 8 (10): e70406. Bibcode:2013PLoSO...870406H. doi:10.1371/journal.pone.0070406. PMC 3812100. PMID 24204556.
  144. ^ "Immigration officers at London trust for patient charging pilot". Local Government Chronicle. 20 July 2015. Retrieved 24 September 2015.
  145. ^ "Pregnant women could need photo ID to get maternity care as St George's Hospital in Tooting cracks down on NHS tourism". Richmond and Twickenham Times. 11 October 2016. Retrieved 29 October 2016.
  146. ^ "8,900 checks on NHS "health tourists" find just 50 liable to pay". Evening Standard. 29 May 2018. Retrieved 30 May 2018.
  147. ^ "Trusts missing out on tens of millions from overseas patients". Health Service Journal. 19 November 2019. Retrieved 9 January 2020.
edit
 
Wikivoyage has a travel guide for Medical tourism.
Retrieved from "https://en.wiki.x.io/w/index.php?title=Medical_tourism&oldid=1263392139"