the potential for bi-lateral agreements in medical tourism a qualitative study of stakeholder perspectives from the uk and india潜在的双边协议在医疗旅游利益相关者的定性研究视角从英国和印度.pdfVIP
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the potential for bi-lateral agreements in medical tourism a qualitative study of stakeholder perspectives from the uk and india潜在的双边协议在医疗旅游利益相关者的定性研究视角从英国和印度
Martínez Álvarez et al. Globalization and Health 2011, 7:11
/content/7/1/11
RESEARCH Open Access
The potential for bi-lateral agreements in medical
tourism: A qualitative study of stakeholder
perspectives from the UK and India
Melisa Martínez Álvarez1*, Rupa Chanda2 and Richard D Smith1
Abstract
Background: Globalisation has prompted countries to evaluate their position on trade in health services. However,
this is often done from a multi-lateral, rather than a regional or bi-lateral perspective. In a previous review, we
concluded that most of the issues raised could be better addressed from a bi-lateral relationship. We report here
the results of a qualitative exercise to assess stakeholders’ perceptions on the prospects for such a bi-lateral system,
and its ability to address concerns associated with medical tourism.
Methods: 30 semi-structured interviews were carried out with stakeholders, 20 in India and 10 in the UK, to assess
their views on the potential offered by a bi-lateral relationship on medical tourism between both countries. Issues
discussed include data availability, origin of medical tourists, quality and continuity of care, regulation and litigation,
barriers to medical tourism, policy changes needed, and prospects for such a bi-lateral relationship.
Results: The majority of stakeholders were concerned about the quality of health services patients would receive
abroad, regulation and litigation procedures, lack of continuity of care, and the effect of such trade on the
healthcare available to the local population in India. However, when considering trade from a bi-lateral point of
view, there was disagreement on how these issues would apply. There was further disagreement on the
importance of the Diaspora and the validity of the UK’s ‘rule’ that patients should not fly more than three ho
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