Patient Mobility in the Global Marketplace: A Multidisciplinary Perspective

Document Type : Editorial


1 Department of Social Policy and Social Work, University of York, Heslington, York, UK

2 Health Services Management Center, University of Birmingham, Birmingham, UK


There is a growing global market in healthcare and patients. And while there is a small body of evidence emerging around this phenomenon commonly known as medical tourism there remain significant unanswered policy and research questions which need to be addressed. We outline some of the key issues set against the six key disciplinary preoccupations of the journal: epidemiology, health economics, health policy ethics, politics of health, health management, and health policy.


Main Subjects

  1. Kronfol NM. Delivery of health services in Arab countries: a review. East Mediterr Health J 2012; 18: 1229–38.
  2. Glinos IA, Baeten R, Helble M, Maarse H. A typology of cross-border patient mobility. Health Place 2010; 16: 1145–55. doi: 10.1016/j.healthplace.2010.08.001
  3. Carrera P, Lunt N. A European perspective on medical tourism: the need for a knowledge base. Int J Health Serv 2010; 40: 469–84. doi: 10.2190/hs.40.3.e
  4. Lunt N, Smith R, Exworthy M, Green ST, Horsfall D, Mannion R. Medical Tourism: Treatments, Markets and Health System Implications: A scoping review [internet]. Directorate for Employment, Labour and Social Affairs. OECD: Paris, 2011. Available from:
  5. Connell J. Contemporary medical tourism: Conceptualisation, culture and commodification. Tourism Management 2013; 34: 1–13. doi: 10.1016/j.tourman.2012.05.009
  6. Ormond ME. Neoliberal governance and International medical travel in Malaysia. Abingdon: Routledge; 2013. doi: 10.4324/9780203077566
  7. Keckley PH, Underwood HR. Medical Tourism: Consumers in Search of Value. Washington: Deloitte Center for Health Solutions; 2008.
  8. Ehrbeck T, Guevara C, Mango PD. Mapping the Market for Medical Travel. The McKinsey Quarterly [internet]. 2008. Available:
  9. McClean K. Medical Tourism: Or, for the politically correct... Cross Border Health Care. Presentation slides. Saskatchewan: University of Saskatchewan; 2008.
  10. MacReady N. Developing countries court medical tourists. Lancet 2007; 369: 1849–50. doi: 10.1016/s0140-6736(07)60833-2
  11. Crone RK. Flat Medicine? Exploring Trends in the Globalization of Health Care. Acad Med 2008; 83: 117–21. doi: 10.1097/acm.0b013e318160965c
  12. Crozier GKD, Baylis F. The ethical physician encounters international medical travel. J Med Ethics 2010; 36: 297–301. doi: 10.1136/jme.2009.032789
  13. Lunt N, Smith RD, Mannion R, Green ST, Exworthy M, Hanefeld, J, et al. Implications for the NHS of inward and outward medical tourism: a policy and economic analysis using literature review and mixed-methods approaches. Health Serv Deliv Res 2014; 2. doi: 10.3310/hsdr02020
  14. Lunt N, Hanefeld J, Smith RD, Exworthy M, Horsfall D, Mannion R. Market size, market share and market strategy: three myths of medical tourism. Policy Polit 2013; forthcoming.
  15. Alleman BW, Luger T, Reisinger HS, Martin R, Horowitz MD, Cram P. Medical Tourism Services Available to Residents of the United States. J Gen Intern Med 2011; 26: 492–7. doi: 10.1007/s11606-010-1582-8
  16. Cortez N. Patients without borders: the emerging global market for patients and the evolution of modern health care. Indiana Law J 2008; 83: 71–131.
  17. Rouchi AH, Mahdavi-Mazdeh M, Zamyadi M. Compensated living kidney donation in Iran: donor’s attitude and short-term follow-up. Iran Kidney Dis 2009; 3: 34–9.
  18. Whittaker A. Challenges of medical travel to global regulation: A case study of reproductive travel in Asia. Glob Soc Policy 2010; 10: 396–415. doi: 10.1177/1468018110379981
  19. Pellegrino ED. The commodification of medical and health care: the moral consequences of a paradigm shift from a professional to a market ethic. J Med Philos 1999; 24: 243–66. doi: 10.1076/jmep.
  20. Smith RD, Martinez-Alvarez M, Chanda R. Medical tourism: a review of the literature and analysis of a role for bi-lateral trade. Health Policy 2011; 103: 276–82. doi: 10.1016/j.healthpol.2011.06.009
  21. Cameron K, Crooks V Chouinard V Snyder J, Johnston R, Casey V. Motivation, justification, normalization: Talk strategies used by Canadian medical tourists regarding their choices to go abroad for hip and knee surgeries. Soc Sci Med 2014; 106: 93–100. doi: 10.1016/j.socscimed.2014.01.047