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

Ruggeri, Kai; Ivanovi?, Nevena; Razum, Josip; Kácha, Ond?ej; Menezes, Igor G.; Zafari, Zafar; Garcia-Garzon, Eduardo


Kai Ruggeri

Nevena Ivanovi?

Josip Razum

Ond?ej Kácha

Zafar Zafari

Eduardo Garcia-Garzon


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.


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.

Journal Article Type Article
Acceptance Date Sep 25, 2018
Online Publication Date Oct 3, 2018
Publication Date 2018-12
Deposit Date Jun 24, 2019
Publicly Available Date Oct 27, 2022
Journal Health Policy
Print ISSN 0168-8510
Publisher Elsevier
Peer Reviewed Peer Reviewed
Volume 122
Issue 12
Pages 1372-1376
Keywords Medical travel; Global health policy; Medical tourism; Health economics; Evidence-based policy
Public URL
Publisher URL
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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