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

Autor: Ruggeri K; Department of Health Policy and Management, Mailman School of Public Health, Columbia University, New York, USA; Policy Research Group, University of Cambridge, UK. Electronic address: dr2946@columbia.edu., Ivanović N; Faculty of Economics and Business, University of Groningen, the Netherlands., Razum J; Department of Psychology, Faculty of Humanities and Social Sciences, University of Zagreb, Croatia., Kácha O; Faculty of Arts, Masaryk University, Czech Republic., Menezes IG; Predictive Psychometrics Laboratory, University of Lincoln, UK., Zafari Z; Department of Pharmaceutical Health Services Research, University of Maryland School of Pharmacy, Baltimore, USA., Garcia-Garzon E; Department of Social Psychology and Methodology Department, Psychology Faculty, Universidad Autónoma de Madrid, Spain.
Jazyk: angličtina
Zdroj: Health policy (Amsterdam, Netherlands) [Health Policy] 2018 Dec; Vol. 122 (12), pp. 1372-1376. Date of Electronic Publication: 2018 Oct 03.
DOI: 10.1016/j.healthpol.2018.09.017
Abstrakt: 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.
(Copyright © 2018 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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