Journal of Healthcare Management - January/February 2014 - (Page 50)
Journal
of
H ealt H care M anage Ment 59:1 J anuary /f ebruary 2014
iNtrodUCtioN
Medical tourism is generally considered
to encompass "the act of traveling . . . to
seek specialized or economical medical care, well-being, and recuperation
of acceptable quality with the help of a
support system" (Keckley & Underwood,
2008).
Medical tourism can vary in scope
in terms of tourist services offered (e.g.,
medical treatment is sometimes packaged with complementary sightseeing tours and other vacation-oriented
services [Konrad, 2009]) and according
to type of medical procedure (e.g., from
dental procedures to cosmetic surgery
[York, 2008]). Traditionally, the medical
tourism model has focused on residents
who leave their country to pursue care at
a destination that may provide less costly
care and a vacation-like experience. In
terms of the U.S. medical tourism model,
this segment of the market is referred to
as outbound medical tourism and presents
the potential for lost revenue for domestic healthcare providers. Inbound medical
tourism involves providing services to
patients from other countries who travel
to U.S. facilities for treatment (Keckley
& Underwood, 2008). Domestic medical tourism involves providing services
to patients from other states within the
United States.
In 2008, more than $5 billion was
spent by the 400,000 non-U.S. residents
who traveled to the United States for
medical care, representing about 2%
of hospital revenue. Most came from
Europe, Canada, South America, and
the Middle East (Keckley & Underwood,
2008). Typically, medical tourism does
not encompass those patients who
happen to fall ill while visiting another
locale; the term is reserved for those
who seek out medical care in another
state or country (NaRanong & NaRanong, 2011).
Medical tourism is a niche business
(i.e., a small market segment) within
the overall U.S. healthcare industry. The
future growth of inbound and domestic
medical tourism is not assured. Even
with potential benefits for patients
and healthcare organizations, possible
impediments include opposition from
medical associations, government travel
restrictions, lack of patient information
in the relevant markets, and inadequate
marketing efforts. However, a global and
national market for healthcare services
is likely to continue as long as patients
from other countries or other states seek
care in a given facility and are able and
willing to pay the cost directly, or indirectly through insurance. In addition,
large U.S. employers, including Lowe's,
Boeing, and Wal-Mart, are entering into
partnerships with Cleveland Clinic,
Mayo Clinic, and other prestigious
health centers to offer their employees
complex surgeries at reduced or no
cost typically at out-of-state facilities
(Cheung-Larivee, 2012; Terhune, 2012).
While prior research has examined
the patient experience of Americans
traveling abroad for care, a gap exists in
the literature related to domestic medical tourism, especially studies based on
methodology in how to assess current
trends and tailor marketing to target
consumers (Guiry & Vequist, 2011;
Hudson & Li, 2012). One review of the
medical tourism literature found little
hard data on patient flows, revenues,
benefits, costs for various stakeholders,
and effective strategies to address such
50
Table of Contents for the Digital Edition of Journal of Healthcare Management - January/February 2014
Journal of Healthcare Management - January/February 2014
Contents
Interview With Kenneth R. White, PhD, FACHE, Associate Dean for Strategic Partnerships and Innovation and the University of Virginia Medical Center Professor of Nursing, University of Virginia School of Nursing
Team-Based Care at Mayo Clinic: A Model for ACOs
The Management Springboard: Eight Ways to Launch Your Career as a Healthcare Leader
The Role of a Public–Private Partnership: Translating Science to Improve Cancer Care in the Community Donna M. O’Brien and Arnold D. Kaluzny
The Value of Patients’ Handwritten Comments on HCAHPS Surveys John W. Huppertz and Robert Smith
Can Inbound and Domestic Medical Tourism Improve Your Bottom Line? Identifying the Potential of a U.S. Tourism Market
Success Factors for Strategic Change Initiatives: A Qualitative Study of Healthcare Administrators’ Perspectives
Journal of Healthcare Management - January/February 2014
https://www.nxtbook.com/nxtbooks/ache/jhm_20161112
https://www.nxtbook.com/nxtbooks/ache/jhm_20160910
https://www.nxtbook.com/nxtbooks/ache/jhm_20160708
https://www.nxtbook.com/nxtbooks/ache/jhm_20160506
https://www.nxtbook.com/nxtbooks/ache/jhm_20160304
https://www.nxtbook.com/nxtbooks/ache/jhm_20160102
https://www.nxtbook.com/nxtbooks/ache/jhm_20151112
https://www.nxtbook.com/nxtbooks/ache/jhm_20150910
https://www.nxtbook.com/nxtbooks/ache/jhm_20150708
https://www.nxtbook.com/nxtbooks/ache/jhm_20150506
https://www.nxtbook.com/nxtbooks/ache/jhm_20150304
https://www.nxtbook.com/nxtbooks/ache/jhm_20150102
https://www.nxtbook.com/nxtbooks/ache/jhm_20141112
https://www.nxtbook.com/nxtbooks/ache/jhm_20140910
https://www.nxtbook.com/nxtbooks/ache/jhm_20140708
https://www.nxtbook.com/nxtbooks/ache/jhm_20140506
https://www.nxtbook.com/nxtbooks/ache/jhm_20140304
https://www.nxtbook.com/nxtbooks/ache/jhm_20140102
https://www.nxtbook.com/nxtbooks/ache/jhm_20131112
https://www.nxtbook.com/nxtbooks/ache/jhm_20130910
https://www.nxtbook.com/nxtbooks/ache/jhm_20130708
https://www.nxtbook.com/nxtbooks/ache/jhm_20130506
https://www.nxtbook.com/nxtbooks/ache/jhm_20130304
https://www.nxtbook.com/nxtbooks/ache/jhm_20130102
https://www.nxtbookmedia.com