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An evidence-based policy for improving choice in global health access through medical travel

Ruggeri, Kai; Ivanović, Nevena; Razum, Josip; Kácha, Ondřej; Menezes, Igor G.; Zafari, Zafar; Garcia-Garzon, Eduardo

Authors

Kai Ruggeri

Nevena Ivanović

Josip Razum

Ondřej Kácha

Zafar Zafari

Eduardo Garcia-Garzon



Abstract

Global medical travel has had an increasing trend without a comprehensive, evidence-driven policy to ensure safe and effective practice. To identify key factors that influence medical travel, we conducted a series of studies culminating with a preference and decision-making component of over 500 prospective medical travelers from a number of countries. Results indicated that quality of care was the most critical factor in the decision, followed by lower costs of procedure and shorter waiting times. Lower costs were less of a factor if the procedure was more invasive, which also increased the importance of waiting time in the decision. The most desired destinations for care were in Europe (United Kingdom, Germany) and North America (United States). Building on these insights and previous literature, we present a model that implements applications from these factors and additional insights generated across the series of studies toward an effective policy framework.

Journal Article Type Article
Publication Date 2018-12
Journal Health Policy
Print ISSN 0168-8510
Publisher Elsevier
Peer Reviewed Peer Reviewed
Volume 122
Issue 12
Pages 1372-1376
APA6 Citation Ruggeri, K., Ivanović, N., Razum, J., Kácha, O., Menezes, I. G., Zafari, Z., & Garcia-Garzon, E. (2018). An evidence-based policy for improving choice in global health access through medical travel. Health Policy, 122(12), 1372-1376. https://doi.org/10.1016/j.healthpol.2018.09.017
DOI https://doi.org/10.1016/j.healthpol.2018.09.017
Keywords Medical travel; Global health policy; Medical tourism; Health economics; Evidence-based policy
Publisher URL https://doi.org/10.1016%2Fj.healthpol.2018.09.017
Additional Information This is the accepted manuscript of an article published in Health policy, 2018. The version of record is available at the DOI link in this record.

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Copyright Statement
©2019, Elsevier. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/





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