Medical tourism: a cost or benefit to the NHS?
Medical tourism: a cost or benefit to the NHS?
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DOI：
10.1371/journal.pone.0070406
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发表时间：
2013
期刊：
影响因子：
3.7
通讯作者：
Smith R
中科院分区：
文献类型：
--
作者：
Hanefeld J;Horsfall D;Lunt N;Smith R
“医疗旅游”——人们出国接受医疗的现象——越来越受到学术和大众媒体的关注。本文报告了一项研究的结果，该研究通过估计医疗旅游量以及相关成本和收益，考察了入境和出境医疗旅游对英国国民医疗服务体系（NHS）的影响。这是一项混合方法研究，包括对英国国际乘客调查 (IPS) 的分析；采访了 77 名回国的英国医疗游客、63 名政策制定者、NHS 管理者和医疗旅游行业参与者政策制定者，并对已发表的文献进行了回顾。这些信息为患者通常出国旅行的三种治疗类型的成本计算提供了信息：生育治疗、整容和减肥手术。入境旅游成本的计算依赖于通过向 NHS 基金会信托机构提出的 28 项信息自由请求获得的数据。调查结果表明，与一些流行媒体报道相反，英国远非患者净进口国，而是明显的医疗旅行者净出口国。 2010年，估计有63,000名英国居民前往接受治疗，而约52,000名患者在英国寻求治疗。与英国私人患者相比，在 NHS 设施内被视为私人患者的入境医疗游客可能特别有利可图，仅占所检查数据量的 7%，就产生了近四分之一的收入。当患者出国旅行并返回时出现并发症，就会产生费用。分析还表明可能节省成本，特别是在未来的医疗保健和避免的社会成本方面。这些可能特定于所治疗的程序和条件。英国医疗旅游日益增长，给国民医疗服务体系带来了风险和机遇。为了充分了解其影响并指导 NHS 全球活动和患者安全等问题的政策，需要投资于进一步的研究和监测。结果表明医疗旅游可能对其他全民公共卫生系统产生影响。
‘Medical Tourism’ – the phenomenon of people travelling abroad to access medical treatment - has received increasing attention in academic and popular media. This paper reports findings from a study examining effect of inbound and outbound medical tourism on the UK NHS, by estimating volume of medical tourism and associated costs and benefits. A mixed methods study it includes analysis of the UK International Passenger Survey (IPS); interviews with 77 returning UK medical tourists, 63 policymakers, NHS managers and medical tourism industry actors policymakers, and a review of published literature. These informed costing of three types of treatments for which patients commonly travel abroad: fertility treatment, cosmetic and bariatric surgery. Costing of inbound tourism relied on data obtained through 28 Freedom-of-Information requests to NHS Foundation Trusts. Findings demonstrate that contrary to some popular media reports, far from being a net importer of patients, the UK is now a clear net exporter of medical travellers. In 2010, an estimated 63,000 UK residents travelled for treatment, while around 52,000 patients sought treatment in the UK. Inbound medical tourists treated as private patients within NHS facilities may be especially profitable when compared to UK private patients, yielding close to a quarter of revenue from only 7% of volume in the data examined. Costs arise where patients travel abroad and return with complications. Analysis also indicates possible savings especially in future health care and social costs averted. These are likely to be specific to procedures and conditions treated. UK medical tourism is a growing phenomenon that presents risks and opportunities to the NHS. To fully understand its implications and guide policy on issues such as NHS global activities and patient safety will require investment in further research and monitoring. Results point to likely impact of medical tourism in other universal public health systems.
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