Medical Tourists: Who Goes and What Motivates Them?

Health Marketing Quarterly

Volumn 30, Issue 2, 2013, Pages 177-194

  Gan, Lydia L ^a   Frederick, James R ^a  

^a UNIVERSITY OF NORTH CAROLINA AT PEMBROKE   (United States)

Author keywords

demographics; medical tourism; medical travel; motivations; uninsured

Indexed keywords

ADOLESCENT; ADULT; AGE; AGED; ARTICLE; ATTITUDE TO HEALTH; FEMALE; HUMAN; INCOME; MALE; MEDICAL TOURISM; MEDICALLY UNINSURED; MIDDLE AGED; MOTIVATION; PRINCIPAL COMPONENT ANALYSIS; PSYCHOLOGICAL ASPECT; SOCIOECONOMICS; STATISTICS; UNITED STATES; YOUNG ADULT;

ADOLESCENT; ADULT; AGE FACTORS; AGED; ATTITUDE TO HEALTH; FEMALE; HUMANS; INCOME; MALE; MEDICAL TOURISM; MEDICALLY UNINSURED; MIDDLE AGED; MOTIVATION; NORTH CAROLINA; PRINCIPAL COMPONENT ANALYSIS; SOCIOECONOMIC FACTORS; YOUNG ADULT;

EID: 84878436345     PISSN: 07359683     EISSN: 15450864     Source Type: Journal    
DOI: 10.1080/07359683.2013.787894     Document Type: Article

References (49)

1. American Medical Association. (2007, June). Medical travel outside the U.S. Report B. Retrieved from http://www.medretreat.com/templates/UserFiles/Documents/AMA Report June 2007.pdf
2. Are you really covered? (2007, September). Consumer Reports, 72 (9), 16 - 20. Retrieved from http://www.pnhp.org/news/2007/august/consumer_reports_on_.php
3. Baker, D. A., and Crompton, J. L. (2000). Quality, satisfaction and behavioral intentions. Annals of Tourism Research, 27 (3), 785 - 804.
4. Baker, D. W., Sudano, J. J., Albert, J. M., Borawski, E. A., & Dor, A. (2001). Lack of health insurance and decline in overall health in late middle age. New England Journal of Medicine, 345, 1106 - 1112.
5. Bookman, M., and Bookman, K. (2007). Medical tourism in developing countries. New York, NY: Palgrave MacMillan.
6. Burkett, L. (2007). Medical tourism: Concerns, benefits, and the American legal perspective. The Journal of Legal Medicine, 28, 223 - 245. doi: 10.1080/019476 40701357763
7. Canterbury, R., Walters, R., & Eldridge, J. (2006). House Bill 4359. Charleston, WV: Committee on Banking and Insurance then Finance, West Virginia. Retrieved from http://www.legis.state.wv.us/Bill_Text_HTML/2006_SESSIONS/RS/Bills/hb4359%20intr.htm
8. Carrera, P. M., and Bridges, J. F. P. (2006). Globalization and healthcare: Understanding health and medical tourism. Expert Review of Pharmacoeconomics Outcomes Research, 6 (4), 447 - 454.
9. Chandler, J., and Costello, C. (2002). A profile of visitors at heritage tourism destinations in east Tennessee according to Plog's lifestyle and activity level preferences model. Journal of Travel Research, 41 (2), 161 - 166.
10. Connell, J. (2006). Medical tourism: Sea, sun, sand and surgery. Tourism Management, 27 (6), 1093 - 1100.
11. Council to promote medical tourism. (2009, July 22). The New Straits Times. Retrieved from http://www.malaysiahealthcare.com/22072009.htm
12. Deloitte, LLP. (2009). Medical tourism: Updates and implications. Retrieved from http://www.deloitte.com/assets/Dcom-Greece/Local%20Assets/Documents/Attachments/Health/Medical_tourism09.pdf
13. Demicco, F. J., and Cetron, M. (2006). Club medic. Asia Pacific Biotech News, 10 (10), 527 - 531.
14. DeNavas-Walt, C., Proctor, B. D., & Smith, J. C. (2009). Income, poverty, and health insurance coverage in the United States: 2008 (Current Population Reports: Consumer Income Series Report No. P60-236 [RV]). Washington, DC: U.S. Government Printing Office.
15. Gan, L., and Frederick, J. R. (2011a). Medical tourism facilitators: Patterns of service differentiation. Journal of Vacation Marketing, 17 (3), 1 - 19.
16. Gan, L., and Frederick, J. R. (2011b). Medical tourism in Singapore: A structure-conduct-performance analysis. Journal of Asia-Pacific Business, 12(2), 141-170.
17. Goodman, D. C., Fisher, F., Stukel, T. A., & Chang, C. (1997). The distance to community medical care and the likelihood of hospitalization: Is closer always better? American Journal of Public Health, 87 (7), 1144 - 1150.
18. Grossman, M. (2006). Education and nonmarket outcomes. In E. Hanushek & F. Welch (Eds.), Handbook of the economics of education (Vol. I, pp. 577 - 633). Amsterdam, The Netherlands: North-Holland. Retrieved from http://dx.doi.org/10.1016/S1574-0692(06)01010-5
19. Hagen, L. A. R., and Uysal, M. (1991, June). An examination of motivations and activities of pre-retirement (50-64) and post-retirement (65-98) age groups for a touring trip. Proceedings of the 22nd Annual Travel and Tourism Research Association Conference, Long Beach, CA.
20. Herrick, D. M. (2007, November). Medical tourism: Global competition in health care. National Center for Policy Analysis, Dallas, TX (Report No. 304). Retrieved from http://www.ncpa.org/pub/st/st304
21. Hong, G. S., Kim, S. Y., & Lee, J. (1999). Travel expenditure patterns of elderly households in the US. Tourism Recreation Research, 24 (1), 43 - 52.
22. Horowitz, M. D., and Rosensweig, J. A. (2008). Medical tourism vs. traditional international medical travel: A tale of two models. International Medical Travel Journal, 1 - 14.
23. Hsieh, C. R., and Lin, S. J. (1997). Health information and the demand for preventive care among the elderly in Taiwan. Journal of Human Resources, 32, 308 - 333.
24. Javalgi, R. G., Thomas, E. G., & Rao, S. R. (1992). Consumer behavior in the U.S. pleasure travel marketplace: An analysis of senior and nonsenior travelers. Journal of Travel Research, 31 (2), 14 - 19.
25. Juaneda, C. (1996). Estimating the probability of return visits using a survey of tourist expenditure in the Balearic Islands. Tourism Economics, 24, 339 - 352.
26. Kenkel, D. (1990). Consumer health information and the demand for medical care. The Review of Economics and Statistics, 72, 587 - 595.
27. Kozak, M. (2001). Repeaters' behavior at two distinct destinations. Annals of Tourism Research, 28 (3), 784 - 807.
28. Landeck, M., and Garza, C. (2002). Utilization of physician health care services in Mexico by U.S. Hispanic border residents. Health Marketing Quarterly, 20 (1), 3 - 16.
29. Lantz, P. M., Lynch, W., & House, J. S. (2001). Socioeconomic disparities in health change in a longitudinal study of US adults: The role of health-risk behaviors. Social Science and Medicine, 53 (1), 29 - 40.
30. Lee, O. F., and Davis, T. R. V. (2004). International patients: A lucrative market for U.S. hospitals. Health Marketing Quarterly, 22 (1), 41 - 56.
31. MacReady, N. (2007). Developing countries court medical tourists. World Report, 370(9584), 1849-1850. Retrieved from http://www.thelancet.com
32. Marlowe, J., and Sullivan, P. (2007). Medical tourism: The ultimate outsourcing. Human Resource Planning, 30 (2), 8 - 10.
33. Martin, L. G., Freedman, V. A., Schoeni, R. F., & Andreski, P. M. (2010). Trends in disability and related chronic conditions among people ages fifty to sixty-four. Health Affairs, 29 (4), 725 - 731.
34. Mattoo, A., and Rathindran, R. (2006). How health insurance inhibits trade in health care. Health Affairs, 25(20), 358-367.
35. Milstein, A., and Smith, M. (2006). America's new refugees-seeking affordable surgery offshore. The New England Journal of Medicine, 355 (16), 1637 - 1640.
36. Ministry of Health. (2002). Malaysia's health 2002: Technical report of the Director-General of Health Malaysia 2002. Kuala Lumpur, Malaysia: Author.
37. Mirrer-Singer, P. (2007). Medical malpractice overseas: The legal uncertainty surrounding medical tourism. Law and Contemporary Problems, 70 (2), 211 - 232.
38. NFO Plog Research. (2000, October 4). Age matters in leisure travel activities. Retrieved from http://demo.travelweeklyweb.com/article/age_matters_in_ leisure_travel_activities.html
39. Pathak, D. (2010, October 18). Medical tourism witnesses unprecedented growth. Retrieved from http://www.ibtimes.com/articles/72998/20101018/medicaltourism- health-tourism-travel-abroad.htm
40. Rhoades, J., and Chu, M. (2000). Health insurance status of the civilian noninstitutionalized population: 1999 [Publication no. 01-0011]. Rockville, MD: Agency for Healthcare Research and Quality.
41. Rise in medical tourists. (2012, November 7). The Star Online. Retrieved from http://thestar.com.my/news/story.asp?file=/2012/11/7/nation/12282391&sec=nation
42. Rogowski, J., and Karoly, L. (2000). Health insurance and retirement behavior: Evidence from the health and retirement survey. Journal of Health Economics, 19, 529 - 539.
43. Romsa, G., and Blenman, M. (1989). Vacation patterns of the elderly German. Annals of Tourism Research, 16 (2), 178 - 188.
44. Rosenthal, T. C., and Chester, F. (2000). Access to health care for the rural elderly. Journal of the American Medical Association, 284 (16), 2034 - 2036. doi: 10.1001/jama.284.16.2034
45. Swalm, S., and Lundberg, K. (2007). House Bill 1143: A bill for an act concerning the option of a covered state employee under a self-insured group benefit plan to obtain medical care in an accredited foreign health care facility. Denver, CO: Colorado State Legislature. Retrieved from http://www.leg.state.co.us/clics/clics2007a/csl.nsf/fsbillcont3/DA1B1F6E36E70CD687257251007B7BAF?open&file=1143_01.pdf
46. Su, D., Richardson, C., Wen, M., & Pagan, J. A. (2010). South-border utilization of health care: Evidence from a population-based study in South Texas. Health Services Research. doi: 10.1111/j.1475-6773.2010.01220.x
47. The Henry Kaiser Family Foundation. (2003, September 29). Access to care for the uninsured: An update. Retrieved from http://www.kff.org/uninsured/4142.cfm
48. York, D. (2008). Medical tourism: The trend toward outsourcing medical procedures to foreign countries. Journal of Continuing Education in the Health Professions, 28 (2), 99 - 102.
49. You, X., and O'Leary, J. T. (1999). Destination behavior of older UK travelers. Tourism Recreation Research, 24 (1), 23 - 34.