Journal of General Internal Medicine

, Volume 26, Issue 5, pp 492–497

Medical Tourism Services Available to Residents of the United States

  • Brandon W. Alleman
  • Tana Luger
  • Heather Schacht Reisinger
  • Rene Martin
  • Michael D. Horowitz
  • Peter Cram
Original Research

ABSTRACT

BACKGROUND

There are growing reports of United States (US) residents traveling overseas for medical care, but empirical data about medical tourism are limited.

OBJECTIVE

To characterize the businesses and business practices of entities promoting medical tourism and the types and costs of procedures being offered.

DESIGN, PARTICIPANTS, AND OUTCOMES

Between June and August 2008, we conducted a telephone survey of all businesses engaged in facilitating overseas medical travel for US residents. We collected information from each company including: the number of employees; number of patients referred overseas; medical records security processes; destinations to which patients were referred; treatments offered; treatment costs; and whether patient outcomes were collected.

RESULTS

We identified 63 medical tourism companies and 45 completed our survey (71%). Companies had a mean of 9.8 employees and had referred an average of 285 patients overseas (a total of approximately 13,500 patients). 35 (79%) companies reported requiring accreditation of foreign providers, 22 (50%) collected patient outcome data, but only 17 (39%) described formal medical records security policies. The most common destinations were India (23 companies, 55%), Costa Rica (14, 33%), and Thailand (12, 29%). The most common types of care included orthopedics (32 companies, 73%), cardiac care (23, 52%), and cosmetic surgery (29, 66%). 20 companies (44%) offered treatments not approved for use in the US – most commonly stem cell therapy. Average costs for common procedures, CABG ($18,600) and knee arthroplasty ($10,800), were similar to previous reports.

CONCLUSIONS

The number of Americans traveling overseas for medical care with assistance from medical tourism companies is relatively small. Attention to medical records security and patient outcomes is variable and cost-savings are dependent on US prices. That said, overseas medical care can be a reasonable alternative for price sensitive patients in need of relatively common, elective medical procedures.

KEY WORDS

medical tourism uninsured travel elective surgery 

Supplementary material

11606_2010_1582_MOESM1_ESM.pdf (166 kb)
ESM 1(PDF 165 kb)

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Copyright information

© Society of General Internal Medicine 2010

Authors and Affiliations

  • Brandon W. Alleman
    • 1
    • 6
  • Tana Luger
    • 2
  • Heather Schacht Reisinger
    • 3
    • 4
  • Rene Martin
    • 2
    • 3
  • Michael D. Horowitz
    • 5
  • Peter Cram
    • 3
    • 4
  1. 1.University of Iowa Carver College of MedicineIowa CityUSA
  2. 2.Department of PsychologyUniversity of IowaIowa CityUSA
  3. 3.Iowa City Veterans Administration Medical CenterIowa CityUSA
  4. 4.Division of General Internal Medicine, Department of Internal MedicineUniversity of Iowa Carver College of MedicineIowa CityUSA
  5. 5.Medical Insights InternationalLebanonUSA
  6. 6.University of Iowa Carver College of MedicineIowa CityUSA

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