Abstract
Medical tourism is a highly complex concept: Treatments obtained abroad are not always manifestations of a conscious act of decision-making. In ‘Traveling for Treatment’ the author proposes a set of characteristics that differentiate medical tourism and medical travel from other health services. In an overview over the state of research into medical tourism he briefly presents data sets that attempt to capture medical tourism flows worldwide and provides a detailed description of data sets that record inbound medical tourism in Germany. Moreover, he extensively takes stock of candidate drivers suggested by the medical tourism literature and derives his empirical focus on cultural proximity and networks from health care market imperfections and from the literature on international trade, medical tourism, and marketing.
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References
Al-Hinai, S. S., Al-Busaidi, A. S., & Al-Busaidi, I. H. (2011). Medical tourism abroad: A new challenge to Oman’s health system. Sultan Qaboos University Medical Journal, 11, 477–484.
Alleman, B. W., Luger, T., Reisinger, H. S., Martin, R., Horowitz, M. D., & Cram, P. (2011). Medical tourism services available to residents of the United States. Journal of General Internal Medicine, 26, 492–497. https://doi.org/10.1007/s11606-010-1582-8.
Alsharif, M. J., Labonte, R., & Lu, Z. (2010). Patients beyond borders: A study of medical tourists in four countries. Global Social Policy, 10, 315–335. https://doi.org/10.1177/1468018110380003.
Arunanondchai, J., & Fink, C. (2007). Trade in health services in the ASEAN region (Policy Research Working Paper 4147). The World Bank.
Baldwin, R. (2012). Global supply chains: Why they emerged, why they matter, and where they are going (CTEI Working Papers 2012–13). Geneva.
Bergmark, R., Barr, D., & Garcia, R. (2010). Mexican immigrants in the US living far from the border may return to Mexico for health services. Journal of Immigrant and Minority Health, 12, 610–614. https://doi.org/10.1007/s10903-008-9213-8.
Berlin Partner für Wirtschaft und Technologie GmbH. (2015). Potenzialstudie Medizintourismus Berlin-Brandenburg 2015. Berlin.
Bin Saeed, K. S. (1998). Factors affecting patient’s choice of hospitals. Annals of Saudi Medicine, 18, 420–424.
Bookman, M. Z., & Bookman, K. R. (2007). Medical tourism in developing countries. New York: Palgrave Macmillan.
Boschma, R. (2005). Proximity and innovation: A critical assessment. Regional Studies, 39, 61–74. https://doi.org/10.1080/0034340052000320887.
Carabello, L. (2008). A medical tourism primer for U.S. physicians. The Journal of Medical Practice Management: MPM, 23, 291–294.
Carrera, P., & Bridges, J. (2006). Globalization and healthcare: Understanding health and medical tourism. Expert Review of Pharmacoeconomics & Outcomes Research, 6, 447–454. https://doi.org/10.1586/14737167.6.4.447.
Carrera, P., & Lunt, N. (2010). A European perspective on medical tourism: The need for a knowledge base. International Journal of Health Services, 40, 469–484.
Casey, V., Crooks, V. A., Snyder, J., & Turner, L. (2013). Knowledge brokers, companions, and navigators: A qualitative examination of informal caregivers’ roles in medical tourism. International Journal for Equity in Health, 12, 94. https://doi.org/10.1186/1475-9276-12-94.
Cattaneo, O. (2009). Trade in health services: What’s in it for developing countries? (Policy Research Working Paper 5115). The World Bank.
Chandra, R. (2002). Trade in health services. Bulletin of the World Health Organization, 80, 158–163.
Cheung, I. K., & Wilson, A. (2007). Arthroplasty tourism. The Medical Journal of Australia, 187, 666–667.
Cohen, E. (2008). Explorations in Thai tourism: Collected case studies. Tourism social science series (Vol. 11, 1st ed.). Bingley: Emerald Group Publ.
Cohen, I. G. (2010). Protecting patients with passports: Medical tourism and the patient-protective argument. Iowa Law Review, 95, 1467–1567.
Cohen, I. G. (2011). Medical tourism, access to health care, and global justice. Virginia Journal of International Law, 52, 1–56.
Cohen, I. G. (2012). Circumvention tourism. Cornell Law Review, 97, 1309–1396.
Confederation of Indian Industry, McKinsey and Company. (2002). Healthcare in India: The road ahead. New Delhi: Confederation of Indian Industry McKinsey & Co.
Connell, J. (2006). Medical tourism: Sea, sun, sand and … surgery. Tourism Management, 27, 1093–1100. https://doi.org/10.1016/j.tourman.2005.11.005.
Connell, J. (2013). Contemporary medical tourism: Conceptualisation, culture and commodification. Tourism Management, 34, 1–13. https://doi.org/10.1016/j.tourman.2012.05.009.
Cooper, R. A., Getzen, T. E., McKee, H. J., & Laud, P. (2002). Economic and demographic trends signal an impending physician shortage. Health Affairs, 21, 140–154. https://doi.org/10.1377/hlthaff.21.1.140.
Cormany, D., & Baloglu, S. (2011). Medical travel facilitator websites: An exploratory study of web page contents and services offered to the prospective medical tourist. Tourism Management, 32, 709–716. https://doi.org/10.1016/j.tourman.2010.02.008.
Crone, R. K. (2008). Flat medicine? Exploring trends in the globalization of health care. Academic Medicine, 83, 117–121. https://doi.org/10.1097/ACM.0b013e318160965c.
Cross, M. J., March, L. M., Lapsley, H. M., Tribe, K. L., Brnabic, A. J. M., Courtenay, B. G., & Brooks, P. M. (2000). Determinants of willingness to pay for hip and knee joint replacement surgery for osteoarthritis. Rheumatology, 39, 1242–1248.
Crozier, G. K. D., & Baylis, F. (2010). The ethical physician encounters international medical travel. Journal of Medical Ethics, 36, 297–301. https://doi.org/10.1136/jme.2009.032789.
Culley, L., Hudson, N., Rapport, F., Blyth, E., Norton, W., & Pacey, A. A. (2011). Crossing borders for fertility treatment: Motivations, destinations and outcomes of UK fertility travellers. Human Reproduction, 26, 2373–2381.
de Arellano, R. (2007). Patients without borders: The emergence of medical tourism. International Journal of Health Services, 37, 193–198.
Drager, N., & Vieira, D. (Eds.). (2002). Trade in health services: Global, regional, and country perspectives. Washington, DC: Pan American Health Organization, Program on Public Policy and Health, Division of Health and Human Development; World Health Organization, Strategy Unit, Office of the Director-General.
Dumont, J.-C., & Zurn, P. (2010). International migration of health workers. Policy brief. Paris: OECD.
Ehrbeck, T., Guevara, C., & Mango, P. D. (2008). Mapping the market for medical travel. Seattle, WA: The McKinsey Quarterly.
Enright, M. J., & Newton, J. (2004). Tourism destination competitiveness: A quantitative approach. Tourism Management, 25, 777–788. https://doi.org/10.1016/j.tourman.2004.06.008.
Ernst & Young. (2006). Healthcare. India Brand Equity Foundation, Accessed April 9, 2013, from http://www.ibef.org/download/Healthcare_sectoral.pdf
Esiyok, B., Çakar, M., & Kurtulmuşoğlu, F. B. (2017). The effect of cultural distance on medical tourism. Journal of Destination Marketing & Management, 6, 66–75. https://doi.org/10.1016/j.jdmm.2016.03.001.
European Union. (2004). Directive 2004/38/EC of the European Parliament and of the Council of 29 April 2004 on the right of citizens of the Union and their family members to move and reside freely within the territory of the Member States.
European Union. (2011). Directive 2011/24/EU of the European Parliament and of the Council of 9 March 2011 on the application of patients’ rights in cross-border healthcare.
Exworthy, M., & Peckham, S. (2006). Access, choice and travel: Implications for health policy. Social Policy & Administration, 40, 267–287.
Felbermayr, G. J., & Toubal, F. (2010). Cultural proximity and trade. European Economic Review, 54, 279–293. https://doi.org/10.1016/j.euroecorev.2009.06.009.
Firman, A., & Wang, Y.-Y. (2013). A strategic planning to develop medical travel industry in Indonesia. World Journal of Social Sciences, 3, 160–177.
Fisher, C., & Sood, K. (2014). What is driving the growth in medical tourism? Health Marketing Quarterly, 31, 246–262. https://doi.org/10.1080/07359683.2014.936293.
Frädrich, A. (2013). Patienten weltweit “auf Achse”. Deutsches Ärzteblatt, 110, 1426–1428.
Freyer, W., & Kim, B.-S. (2014). Medizintourismus und Medizinreisen – eine inter-disziplinäre Betrachtung. Gesundheitswesen, 76, 65–68. https://doi.org/10.1055/s-0033-1343439.
Froelich, N. C. K. (2012). Medical tourism – A study about motivational factors and the prerequisites for creating a competitive offer – with a Swedish perspective (Master’s Thesis). Södertörn University.
Furuya, E. Y., Paez, A., Srinivasan, A., Cooksey, R., Augenbraun, M., Baron, M., Brudney, K., Della-Latta, P., Estivariz, C., Fischer, S., Flood, M., Kellner, P., Roman, C., Yakrus, M., Weiss, D., & Granowitz, E. V. (2008). Outbreak of Mycobacterium abscessus wound infections among “Lipotourists” from the United States who underwent Abdominoplasty in the Dominican Republic. Clinical Infectious Diseases, 46, 1181–1188. https://doi.org/10.1086/529191.
The Gallup Organization. (2007). Cross border health services in the EU: Analytical report. Flash Eurobarometer, 210, 1–42.
Gan, L. L., & Frederick, J. R. (2011). Medical tourism facilitators: Patterns of service differentiation. Journal of Vacation Marketing, 17, 165–183. https://doi.org/10.1177/1356766711409181.
García-Altés, A. (2005). The development of health tourism services. Annals of Tourism Research, 32, 262–265. https://doi.org/10.1016/j.annals.2004.05.005.
Gill, J., Madhira, B. R., Gjertson, D., Lipshutz, G., Cecka, M. J., Pham, P.-T., Wilkinsons, A., Bunnapradist, S., & Danovitch, G. M. (2008). Transplant tourism in the United States: A single-center experience. Clinical Journal of the American Society of Nephrology, 3, 1820–1828.
Glinos, I. A., & Baeten, R. (2006). A literature review of cross-border patient mobility in the European Union. Brussels: European Social Observatory.
Glinos, I. A., Baeten, R., & Maarse, H. (2010). Purchasing health services abroad: Practices of cross-border contracting and patient mobility in six European countries. Health Policy, 95, 103–112. https://doi.org/10.1016/j.healthpol.2009.11.016.
Goodarzi, M., Taghvaei, M., & Zangiabadi, A. (2014). Factor analysis of effective factors on the improvement of medical tourism in Shiraz Megalopolis. Environmental Management and Sustainable Development, 3, 138. https://doi.org/10.5296/emsd.v3i1.4876.
Goswami, A. G., Mattoo, A., & Sáez, S. (Eds.). (2012). Exporting services: A developing country perspective. Washington, DC: World Bank.
Goudge, J., & Gilson, L. (2005). How can trust be investigated? Drawing lessons from past experience. Social Science & Medicine, 61, 1439–1451. https://doi.org/10.1016/j.socscimed.2004.11.071.
Grossman, G. M., & Rossi-Hansberg, E. (2008). Trading tasks: A simple theory of offshoring. American Economic Review, 98, 1978–1997. https://doi.org/10.1257/aer.98.5.1978.
Guiso, L., Sapienza, P., & Zingales, L. (2009). Cultural biases in economic exchange? Quarterly Journal of Economics, 124, 1095–1131. https://doi.org/10.1162/qjec.2009.124.3.1095.
Hall, C. M. (2011). Health and medical tourism: A kill or cure for global public health? Tourism Review, 66, 4–15. https://doi.org/10.1108/16605371111127198.
Hall, C. M. (Ed.). (2013). Medical tourism: The ethics, regulation, and marketing of health mobility. Routledge studies in contemporary geographies of leisure, tourism and mobility (Vol. 33). London: Routledge.
Hall, R. E., & Jones, C. I. (2004). The value of life and the rise in health spending (NBER Working Paper Series 10737). National Bureau of Economic Research.
Hanefeld, J., Horsfall, D., Lunt, N., & Smith, R. (2013). Medical tourism: A cost or benefit to the NHS? PLoS One, 8, 1–8. https://doi.org/10.1371/journal.pone.0070406.
Hanefeld, J., Lunt, N., Smith, R., & Horsfall, D. (2015). Why do medical tourists travel to where they do? The role of networks in determining medical travel. Social Science & Medicine, 124, 356–363. https://doi.org/10.1016/j.socscimed.2014.05.016.
Hanna, S. A., Saksena, J., Legge, S., & Ware, H. E. (2009). Sending NHS patients for operations abroad: Is the holiday over? The Annals of The Royal College of Surgeons of England, 91, 128–130. https://doi.org/10.1308/003588409X359411.
Hazarika, I. (2010). Medical tourism: Its potential impact on the health workforce and health systems in India. Health Policy and Planning, 25, 248–251. https://doi.org/10.1093/heapol/czp050.
Herrick, D. M. (2007). Medical tourism: Global competition in health care (NCPA Policy Report 304). Dallas: National Center for Policy Analysis.
Heung, V. C. S., Kucukusta, D., & Song, H. (2011). Medical tourism development in Hong Kong: An assessment of the barriers. Tourism Management, 32, 995–1005. https://doi.org/10.1016/j.tourman.2010.08.012.
Hope. (2015). Medical tourism. Brussels: HOPE Publications, European Hospital and Healthcare Federation.
Hopkins, L., Labonté, R., Runnels, V., & Packer, C. (2010). Medical tourism today: What is the state of existing knowledge? Journal of Public Health Policy, 31, 185–198.
Horowitz, M. D., Rosensweig, J. A., & Jones, C. A. (2007). Medical tourism: Globalization of the healthcare marketplace. Medscape General Medicine, 9, 33.
Horton, S., & Cole, S. (2011). Medical returns: Seeking health care in Mexico. Social Science & Medicine, 72, 1846–1852. https://doi.org/10.1016/j.socscimed.2011.03.035.
Huat, J. Y. C. (2006). Medical tourism/medical travel (part one). SMA News, 38, 17–21.
Hudson, S. (2011). Domestic medical tourism: A neglected dimension of medical tourism research. Accessed April 29, 2014, from http://www.medicaltourismmag.com/domestic-medical-tourism-a-neglected-dimension-of-medical-tourism-research/
Inhorn, M. C., & Shrivastav, P. (2010). Globalization and reproductive tourism in the United Arab Emirates. Asia-Pacific Journal of Public Health, 22, 68. https://doi.org/10.1177/1010539510373007.
International Medical Travel Journal. (2012). The challenges of healthcare investment and provision in the Middle East. Accessed September 25, 2018, from http://www.imtjonline.com/articles/2012/healthcare-investment-and-provision-in-middle-east-30121/
International Medical Travel Journal. (2015). Why is every Turkish figure on medical tourism different? Accessed July 21, 2016, from https://www.imtj.com/news/why-every-turkish-figure-medical-tourism-different/
International Medical Travel Journal. (2016). Medical tourism from Russia survey. Accessed July 20, 2016, from https://www.imtj.com/news/medical-tourism-russia-survey/
IPK International. (2012). ITB world travel trends report 2012/2013. Berlin: Messe Berlin GmbH.
Japanese Cabinet. (2010). The new growth strategy: Blueprint for revitalizing Japan. Tokyo: Japanese Ministry of Economy, Trade and Industry.
Johnson, O. (2002). Bogotá launches health tourism project. Accessed April 29, 2014, from http://www.bmj.com/content/325/7354/10.6
Johnson, T. J., & Garman, A. N. (2010). Impact of medical travel on imports and exports of medical services. Health Policy, 98, 171–177. https://doi.org/10.1016/j.healthpol.2010.06.006.
Johnson, T. J., & Garman, A. N. (2015). Demand for international medical travel to the USA. Tourism Economics, 21, 1061–1077. https://doi.org/10.5367/te.2014.0393.
Johnson, T. J., Youngquist, J. S., Garman, A. N., Hohmann, S., & Cieslak, P. R. (2015). Factors influencing medical travel into the United States. International Journal of Pharmaceutical and Healthcare Marketing, 9, 118–135. https://doi.org/10.1108/IJPHM-02-2013-0004.
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. https://doi.org/10.1186/1475-9276-9-24.
Johnston, R., Crooks, V. A., & Snyder, J. (2012). “I didn’t even know what I was looking for”: A qualitative study of the decision-making processes of Canadian medical tourists. Global Health, 8, 23. https://doi.org/10.1186/1744-8603-8-23.
Jotikasthira, N. (2010). Salient factors influencing medical tourism destination choice (Dissertation). Southern Cross University.
Limb, J.-u. (2014). Medical tourism figures on the rise. Accessed June 20, 2016, from http://www.korea.net/NewsFocus/Policies/view?articleId=119579
Juszczak, J. (2008). Dienstleistungen für internationale Patienten: Tagungsband zur Konferenz Medizintourismus; Sankt Augustin 28. September 2007. Schriftenreihe des Fachbereiches Wirtschaft Sankt Augustin, Vol. 21. Sankt Augustin: Fachhochsch. Bonn-Rhein-Sieg.
Kangas, B. (2007). Hope from abroad in the international medical travel of Yemeni patients. Anthropology & Medicine, 14, 293–305. https://doi.org/10.1080/13648470701612646.
Keckley, P. H., & Eselius, L. L. (2009). 2009 survey of health care consumers: Key findings, strategic implications. Washington, DC: Deloitte Center for Health Solutions.
Keckley, P. H., & Underwood, H. R. (2008). Medical tourism: Consumers in search of value. Washington, DC: Deloitte Center for Health Solutions.
Kher, U. (2006). Outsourcing your heart. Time. 44–47.
Khoo, L. (2003). Trends in foreign patient admission in Singapore. Singapore: MOH Information Paper, Ministry of Health.
Landgericht Kiel. (2011) Sittenwidrigkeit der Provisionsvereinbarung für die Vermittlung von Patienten an eine Klinik. Accessed September 25, 2018, from http://openjur.de/u/442482.html
Klijs, J., Ormond, M., Mainil, T., Peerlings, J., & Heijman, W. (2016). A state-level analysis of the economic impacts of medical tourism in Malaysia. Asian-Pacific Economic Literature, 30, 3–29. https://doi.org/10.1111/apel.12132.
Klingenberger, D. (2009). Dentaltourismus und Auslandszahnersatz: Empirische Zahlungsbereitschaftsanalysen auf der Grundlage repräsentativer Stichproben im Jahre 2008, Materialienreihe/Institut der Deutschen Zahnärzte (Vol. 32). Köln: Dt. Zahnärzte-Verlag.
Klusen, N., Verheyen, F., & Wagner, C. (Eds.). (2011). England and Germany in Europe: What lessons can we learn from each other?: European Health Care Conference 2011, Beiträge zum Gesundheitsmanagement (Vol. 32, 1st ed.). Baden-Baden: Nomos-Verl.-Ges.
Korea Global Healthcare Association (English). Accessed September 25, 2018, from www.medicalkorea.asia/
Lautier, M. (2008). Export of health services from developing countries: The case of Tunisia. Social Science & Medicine, 67, 101–110. https://doi.org/10.1016/j.socscimed.2008.01.057.
Lee, J. Y., Kearns, R. A., & Friesen, W. (2010). Seeking affective health care: Korean immigrants’ use of homeland medical services. Health Place, 16, 108–115. https://doi.org/10.1016/j.healthplace.2009.09.003.
Lee, M., Han, H., & Lockyer, T. (2012). Medical tourism: Attracting Japanese tourists for medical tourism experience. Journal of Travel and Tourism Marketing, 29, 69–86.
Leng, C. H. (2006). The emergence of a transnational healthcare service industry in Malaysia (Working Paper Series 76). Asia Research Institute.
Levy, F., & Kyoung-Hee, Y. (2006). Offshoring radiology services to India (MIT IPC Working Paper 06–005). MIT Industrial Performance Center.
León, F. (2002). The case of the Chilean health system, 1983–2000. In N. Drager & D. Vieira (Eds.), Trade in health services: Global, regional, and country perspectives (pp. 155–183). Washington, DC: Pan American Health Organization, Program on Public Policy and Health, Division of Health and Human Development; World Health Organization, Strategy Unit, Office of the Director-General.
Liu, I.-C., & Chen, C.-c. (2013). Cultural issues in medical tourism. American Journal of Tourism Research, 2, 78–83. https://doi.org/10.11634/216837861302318.
Loh, C.-P. A. (2014). Health tourism on the rise? Evidence from the balance of payments statistics. The European Journal of Health Economics, 15, 759–766. https://doi.org/10.1007/s10198-013-0521-0.
Loh, C.-P. A. (2015). Trends and structural shifts in health tourism: Evidence from seasonal time-series data on health-related travel spending by Canada during 1970–2010. Social Science & Medicine, 132, 173–180. https://doi.org/10.1016/j.socscimed.2015.03.036.
Lukas, D. (2009). Efficiency effects of cross-border medical demand (Dresden Discussion Paper Series in Economics 15/09). Technische Universität Dresden.
Lunt, N., & Carrera, P. (2010). Medical tourism: Assessing the evidence on treatment abroad. Maturitas, 66, 27–32. https://doi.org/10.1016/j.maturitas.2010.01.017.
Lunt, N., Hardey, M., & Mannion, R. (2010). Nip, tuck and click: Medical tourism and the emergence of web-based health information. The Open Medical Informatics Journal, 4, 1–10.
Lunt, N., Smith, R., Exworthy, M., Green, S. T., Horsfall, D., & Mannion, R. (2011). Medical tourism: Treatments, markets and health system implications: A scoping review. Paris: OECD.
Lunt, N., Mannion, R., & Exworthy, M. (2013). A framework for exploring the policy implications of UK medical tourism and international patient flows. Social Policy & Administration, 47, 1–25. https://doi.org/10.1111/j.1467-9515.2011.00833.x.
Lunt, N., Horsfall, D., Smith, R., Exworthy, M., Hanefeld, J., & Mannion, R. (2014a). Market size, market share and market strategy: Three myths of medical tourism. Policy & Politics, 42, 597–614. https://doi.org/10.1332/030557312X655918.
Lunt, N., Jin, K. N., Horsfall, D., & Hanefeld, J. (2014b). Insights on medical tourism: Markets as networks and the role of strong ties. Korean Social Science Journal, 41, 19–37. https://doi.org/10.1007/s40483-014-0012-7.
Lunt, N., Horsfall, D., & Hanefeld, J. (2016). Medical tourism: A snapshot of evidence on treatment abroad. Maturitas, 88, 37–44.
Lutze, I., Karmann, A., & Schoffer, O. (2010). Empirische Bestandsaufnahme zum Patientenimport im stationären Sektor. Statistik in Sachsen, 30–36.
MacReady, N. (2007). Developing countries court medical tourists. The Lancet, 369, 1849–1850. https://doi.org/10.1016/S0140-6736(07)60833-2.
Mai, R. (2011). Der Herkunftslandeffekt: Eine kritische Würdigung des State of the Art. Journal für Betriebswirtschaft, 61, 91–121. https://doi.org/10.1007/s11301-011-0075-0.
Manaf, N. H. A., Hussin, H., Kassim, P. N. J., Alavi, R., & Dahari, Z. (2015). Medical tourism service quality: Finally some empirical findings. Total Quality Management & Business Excellence, 26, 1017–1028. https://doi.org/10.1080/14783363.2015.1068597.
Martin, D. S., Ramamonjiarivelo, Z., & Martin, W. S. (2011). MEDTOUR: A scale for measuring medical tourism intentions. Tourism Review, 66, 45–56.
Mattoo, A., & Rathindran, R. (2006). How health insurance inhibits trade in health care. Health Affairs, 25, 358–368. https://doi.org/10.1377/hlthaff.25.2.358.
Maung, N. L. Y. (2014). Decision factors in medical tourism: Evidence from Burmese visitors to a hospital in Bangkok. Journal of Economics and Behavioral Studies, 6, 84–94.
McGuckin, M. (2006). Consumer attitudes about health care-acquired infections and hand hygiene. American Journal of Medical Quality, 21, 342–346. https://doi.org/10.1177/1062860606291328.
Mechinda, P., Serirat, S., Anuwichanont, J., & Gulid, N. (2010). An examination of tourists’ loyalty towards medical tourism in Pattaya, Thailand. International Business & Economics Research Journal, 9, 55–70.
MedRetreat Treatment Types. Accessed May 21, 2017, from http://www.medretreat.com/procedures/treatment_types.html
Melitz, J., & Toubal, F. (2014). Native language, spoken language, translation and trade. Journal of International Economics, 93, 351–363.
Milstein, A., & Smith, M. (2006). America’s new refugees – Seeking affordable surgery offshore. The New England Journal of Medicine, 355, 1637–1640.
Milstein, A., & Smith, M. (2007). Will the surgical world become flat? Health Affairs, 26, 137–141. https://doi.org/10.1377/hlthaff.26.1.137.
Mishra, S., Lundstrom, S., & Anand, R. (2011). Service export sophistication and economic growth (Policy Research Working Paper 5606). The World Bank.
Miyagi, K., Auberson, D., Patel, A. J., & Malata, C. M. (2012). The unwritten price of cosmetic tourism: An observational study and cost analysis. Journal of Plastic, Reconstructive & Aesthetic Surgery, 65, 22–28. https://doi.org/10.1016/j.bjps.2011.07.027.
Moghimehfar, F., & Nasr-Esfahani, M. H. (2011). Decisive factors in medical tourism destination choice: A case study of Isfahan, Iran and fertility treatments. Tourism Management, 32, 1431–1434. https://doi.org/10.1016/j.tourman.2011.01.005.
Mohamad, W. N., Omar, A., & Haron, M. S. (2012). The moderating effect of medical travel facilitators in medical tourism. Procedia – Social and Behavioral Sciences, 65, 358–363. https://doi.org/10.1016/j.sbspro.2012.11.134.
Möhlmann, J. L., Ederveen, S., de Groot, H. L. F., & Linders, G.-J. M. (2010). Intangible barriers to international trade: A sectoral approach. In P. A. G. Van Bergeijk & S. Brakman (Eds.), The gravity model in international trade: Advances and applications (pp. 224–251). Cambridge: Cambridge Univ. Press.
Monaco Cardio-Thoracic Center. (2016). CCM prices. http://www.monaco-cardio.com/pdf/CCM_prices.pdf
Mullan, F. (2006). Doctors for the world: Indian physician emigration. Health Affairs, 25, 380–393. https://doi.org/10.1377/hlthaff.25.2.380.
Müller, M. (2006). Der Gesundheitssektor der Grenzregion Ostbrandenburg-Lubuskie. Strukturen und Optionen in der grenzüberschreitenden Gesundheitsversorgung (Dissertation). Europa-Universität Viadrina Frankfurt (Oder).
Münch, E. (2014). Russen fliegen auf Dresden. SZ Online.
Musa, G., Doshi, D., Wong, K. M., & Thirumoorthy, T. (2012a). How satisfied are inbound medical tourists in Malaysia?: A study on private hospitals in Kuala Lumpur. Journal of Travel & Tourism Marketing, 29, 629–646. https://doi.org/10.1080/10548408.2012.720150.
Musa, G., Thirumoorthi, T., & Doshi, D. (2012b). Travel behaviour among inbound medical tourists in Kuala Lumpur. Current Issues in Tourism, 15, 525–543. https://doi.org/10.1080/13683500.2011.626847.
Nagel, L.-M., Neller. M. (2013a). Der lybische Patient. Die Welt.
Nagel, L.-M., & Neller, M. (2013b). Krumme Geschäfte mit Kranken aus Libyen. Die Welt.
Nagel, L.-M., & Neller, M. (2014). Die kranken Seiten des Systems. Die Welt.
NaRanong, A., & NaRanong, V. (2011). The effects of medical tourism: Thailand’s experience. Bulletin of the World Health Organization, 89, 336–344. https://doi.org/10.2471/BLT.09.072249.
Neelakantan, S. (2003). India’s global ambitions. Accessed June 12, 2014, from www.globalpolicy.org/component/content/article/162-general/28079.html
Newman, M. I., Camberos, A. E., & Ascherman, J. (2005). Mycobacteria abscessus outbreak in US patients linked to offshore surgicenter. Annals of Plastic Surgery, 55, 107–110.
Noree, T., Hanefeld, J., & Smith, R. (2014). UK medical tourists in Thailand: They are not who you think they are. Global Health, 10, 29. https://doi.org/10.1186/1744-8603-10-29.
Noree, T., Hanefeld, J., & Smith, R. (2016). Medical tourism in Thailand: A cross-sectional study. Bulletin of the World Health Organization, 94, 30–36. https://doi.org/10.2471/BLT.14.152165.
Oberhauser-Aslan, H. (2013, January 27). Reiche Russen kommen zunehmend gern in deutsche Kliniken. Wall Street Journal.
Paffhausen, A. L., Peguero, C., & Roche-Villareal, L. (2010). Medical tourism: A survey. Washington, DC: LC/WAS/L.111, Economic Commission for Latin America and the Caribbean.
Polish Association of Medical Tourism. (2012). Prices of treatments. Accessed July 26, 2016, from http://www.pamt.org/patient-pricing.php
Pollard, K. (2012). The medical tourism survey 2012. London: Intuition Communication Ltd.
Pollard, K. (2013). Medical tourism climate survey 2013. London: Intuition Communication Ltd.
Pollard, K. (2017). Measuring the ROI from medical tourism promotion. Accessed December 1, 2017, from https://www.imtj.com/blog/measuring-roi-medical-tourism-promotion/
Rajagopal, S. (2011, July 26–30). Factors influencing patients’ willingness to participate in medical tourism. The 2nd International Research Symposium in Service Management Yogyakarta, Indonesia. National University of Singapore.
Ramírez de Arellano, A. B. (2011). Medical tourism in the Caribbean. Signs, 36, 289–297. https://doi.org/10.1086/655908.
Rauch, J. E. (1999). Networks versus markets in international trade. Journal of International Economics, 48, 7–35.
RDC. (2007–2012). Hospital statistics. RDC of the Federal Statistial Office of the Länder, Survey years 2007–2012.
Richter, B., & Richter, K. (2012). Export und Import von Krankenhausdienstleistungen in Sachsen 1995–2009. Statistik in Sachsen, 27–34.
Rosenmöller, M., McKee, M., & Baeten, R. (2006). Patient mobility in the European union: Learning from experience. Copenhagen: World Health Organization, Regional Office for Europe.
Sengupta, A. (2011). Medical tourism: Reverse subsidy for the Elite. Signs: Journal of Women in Culture and Society, 36, 312–319. https://doi.org/10.1086/655910.
Sheppard, C. E., Lester, E. L. W., Chuck, A. W., Kim, D. H., Karmali, S., de Gara, C. J., & Birch, D. W. (2014). Medical tourism and bariatric surgery: Who pays? Surgical Endoscopy, 28, 3329–3336. https://doi.org/10.1007/s00464-014-3613-8.
Siddiqi, S., Shennawy, A., Mirza, Z., Drager, N., & Sabri, B. (2010). Assessing trade in health services in countries of the Eastern Mediterranean from a public health perspective. The International Journal of Health Planning and Management, 25, 231–250. https://doi.org/10.1002/hpm.989.
Smith, R. D., Chanda, R., & Tangcharoensathien, V. (2009). Trade in health-related services. The Lancet, 373, 593–601.
Smith, R., Álvarez, M. M., & Chanda, R. (2011a). Medical tourism: A review of the literature and analysis of a role for bi-lateral trade. Health Policy, 103, 276–282.
Smith, R., Martínez Álvarez, M., & Chanda, R. (2011b). Medical tourism: A review of the literature and analysis of a role for bi-lateral trade. Health Policy, 103, 276–282. https://doi.org/10.1016/j.healthpol.2011.06.009.
Snyder, J., Crooks, V. A., & Johnston, R. (2012). Perceptions of the ethics of medical tourism: Comparing patient and academic perspectives. Public Health Ethics, 5, 38–46. https://doi.org/10.1093/phe/phr034.
Terry, N. P. (2007). Under-regulated health care phenomena in a flat world: Medical tourism and outsourcing? Western New England Law Review, 29, 421–472.
Turner, L. (2007). ‘First World Health Care at Third World Prices’: Globalization, bioethics and medical tourism. BioSocieties, 2, 303–325. https://doi.org/10.1017/S1745855207005765.
Visit Medical Korea. (2016). Medical tourism records. Accessed July 26, 2016, from http://english.visitmedicalkorea.com/eng/medicalTreatments/medicalTreatments01/medicalTreatments01_1.jsp
Wachter, R. M. (2006). The “Dis-location” of U.S. medicine – The implications of medical outsourcing. The New England Journal of Medicine, 354, 661–665.
Wagner, C., & Verheyen, F. (2010). TK-Europabefragung 2009: Deutsche Patienten auf dem Weg nach Europa. Hamburg: Techniker Krankenkasse.
Wagner, C., Dobrick, K., & Verheyen, F. (2011). Europabefragung 2010. Hamburg: WINEG Wissen, Techniker Krankenkasse.
Weiber, R., & Adler, J. (1995a). Informationsökonomisch begründete Typologisierung von Kaufprozessen. Schmalenbachs Zeitschrift für betriebswirtschaftliche Forschung: Zfbf, 47, 43–65.
Weiber, R., & Adler, J. (1995b). Positionierung von Kaufprozessen im informationsökonomischen Dreieck: Operationalisierung und verhaltenswissenschaftliche Prüfung. Schmalenbachs Zeitschrift für betriebswirtschaftliche Forschung: Zfbf, 47, 99–123.
White, W. D., & Morrisey, M. A. (1998). Are patients traveling further? International Journal of the Economics of Business, 5, 203–221. https://doi.org/10.1080/13571519884512.
Whittaker, A. (2010). Challenges of medical travel to global regulation: A case study of reproductive travel in Asia. Global Social Policy, 10, 396–415. https://doi.org/10.1177/1468018110379981.
Whittaker, A. (2015). ‘Outsourced’ patients and their companions: Stories from forced medical travellers. Global Public Health, 10, 485–500. https://doi.org/10.1080/17441692.2014.998696.
Wibulpolprasert, S., Pachanee, C.-a., Pitayarangsarit, S., & Hempisut, P. (2004). International service trade and its implications for human resources for health: A case study of Thailand. Human Resources for Health, 2, 10. https://doi.org/10.1186/1478-4491-2-10.
Wongkit, M., & McKercher, B. (2013). Toward a typology of medical tourists: A case study of Thailand. Tourism Management, 38, 4–12. https://doi.org/10.1016/j.tourman.2013.02.003.
The World Bank. (1996). Prospects for service exports from the English-speaking Carribbean (Report 15301-CRG). Washington, DC: The World Bank.
Ye, B. H., Qiu, H. Z., & Yuen, P. P. (2011). Motivations and experiences of Mainland Chinese medical tourists in Hong Kong. Tourism Management, 32, 1125–1127. https://doi.org/10.1016/j.tourman.2010.09.018.
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. https://doi.org/10.1016/j.tourman.2012.04.010.
Ying, G. (2015). Desperation, money drive patients abroad. China Daily:16.
Youngman, I. (2009). Medical tourism statistics: Why McKinsey has got it wrong. Accessed April 9, 2013, from http://www.imtjonline.com/articles/2009/mckinsey-wrong-medical-travel/
Youngman, I. (2012). Beyond accreditation in medical travel. Accessed June 17, 2014, from http://www.imtjonline.com/articles/2012/medical-travel-accreditation-30144/
Youngman, I. (2014). Medical tourism facts and figures 2014. London: International Medical Travel Journal.
Yu, J. Y., & Ko, T. G. (2012). A cross-cultural study of perceptions of medical tourism among Chinese, Japanese and Korean tourists in Korea. Tourism Management, 33, 80–88. https://doi.org/10.1016/j.tourman.2011.02.002.
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Schmerler, K. (2018). Traveling for Treatment: Taxonomy, Patient Flows and Candidate Drivers. In: Medical Tourism in Germany. Developments in Health Economics and Public Policy, vol 13. Springer, Cham. https://doi.org/10.1007/978-3-030-03988-2_2
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