Department of Socioeconomics, Vienna University of Economics and Business, Vienna, Austria.
Centre of Social Innovation, Vienna, Austria.
J Health Organ Manag. 2020 Dec 15;ahead-of-print(ahead-of-print):34-49. doi: 10.1108/JHOM-04-2020-0129.
The purpose of this paper is twofold: First, it analyzes demand and supply-side factors that influence patient flows to and from Austria. Second, building on the empirical research and existing conceptualizations, the study offers a general extended framework to guide future comparative analysis.
DESIGN/METHODOLOGY/APPROACH: The paper draws on multiple data sources including a literature review, secondary data, website analysis and semi-structured interviews with patients and health providers. Content analysis was carried out to identify common motives for seeking care abroad and providers' orientation towards medical travel.
Outbound medical travel is largely determined by factors of access, affordability and vicinity, while inbound medical travel is predominately driven by a lack of adequate medical infrastructure in source countries and quality, both in terms of medical and service quality. Providers distinguish themselves according to the extent they take part in medical travel.
RESEARCH LIMITATIONS/IMPLICATIONS: The findings emerging from a single country case study approach cannot be generalized across settings and contexts, albeit contributing to a better understanding of current medical travel patterns in Europe.
ORIGINALITY/VALUE: Unlike most recent contributions, this study focuses both on inbound and outbound medical travel in Austria and investigates patient flows for distinctive treatments and drivers. While analysis of the supply-side of medical travel is often limited to tourism studies, this study provides a critical insight into developments in Europe from a health policy perspective, acknowledging that diverse medical travel patterns in Europe coexist.
本文旨在分析影响患者在奥地利境内外流动的供需因素。其次,基于实证研究和现有概念化理论,本研究提供了一个通用的扩展框架,以指导未来的比较分析。
设计/方法/途径:本文利用多种数据源,包括文献综述、二手数据、网站分析和对患者和医疗服务提供者的半结构化访谈。采用内容分析法来确定寻求海外医疗的常见动机和医疗服务提供者对医疗旅游的定位。
出境医疗旅游主要由可及性、可负担性和邻近性因素决定,而入境医疗旅游主要由来源国医疗基础设施不足以及医疗和服务质量欠佳所驱动。医疗服务提供者根据其参与医疗旅游的程度来区分自身。
研究局限性/影响:尽管本研究有助于更好地理解欧洲当前的医疗旅游模式,但单一国家案例研究方法得出的结论不能推广到其他环境和背景中。
原创性/价值:与最近的大多数研究不同,本研究既关注奥地利的入境和出境医疗旅游,也调查了不同治疗方法和驱动因素的患者流动情况。虽然对医疗旅游供应方的分析通常限于旅游研究,但本研究从卫生政策角度提供了对欧洲发展的重要见解,承认欧洲存在多样化的医疗旅游模式。