Medical tourism among Indonesians: a scoping review

Abstract Background International medical travel or medical tourism is not a new phenomenon in many countries, including among Indonesians. Indonesia is reported as a major source of patients from the lower, middle, to upper classes for its neighbouring countries. This scoping review aims to synthes...

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Main Authors: Gregorius Abanit Asa, Nelsensius Klau Fauk, Caitlan McLean, Paul Russell Ward
Format: Article
Language:English
Published: BMC 2024-01-01
Series:BMC Health Services Research
Subjects:
Online Access:https://doi.org/10.1186/s12913-023-10528-1
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author Gregorius Abanit Asa
Nelsensius Klau Fauk
Caitlan McLean
Paul Russell Ward
author_facet Gregorius Abanit Asa
Nelsensius Klau Fauk
Caitlan McLean
Paul Russell Ward
author_sort Gregorius Abanit Asa
collection DOAJ
description Abstract Background International medical travel or medical tourism is not a new phenomenon in many countries, including among Indonesians. Indonesia is reported as a major source of patients from the lower, middle, to upper classes for its neighbouring countries. This scoping review aims to synthesise evidence on supporting factors for Indonesians taking medical tourism and what needs to be improved in Indonesia’s health system. Methods We conducted a scoping review guided by a framework provided by Arksey and O’Malley. We systematically searched existing literature from 5 databases, including MEDLINE, PubMed, Scopus, ProQuest, and Wiley. Data were extracted based on study details, study design, characteristics of participants and results. Analysis followed the three-stage procedure outlined by Thomas and Harden: (1) coding the text line by line, interpreting the data and identifying concepts or themes; (2) developing descriptive themes by grouping similar concepts in theme and subtheme and (3) generating analytical themes by reviewing preliminary themes and discussing the addition or revision of themes. Results A total of 25 articles were included in this review. The review highlights a broad range of facilitators for medical tourism among Indonesians: (i) availability of health services, medical specialities, and person-centred care, (ii) region adjacency, transport, and health agency, (iii) affordability of medical treatment, (iv) religious and socio-cultural factors, and (v) reasons patients reported distrust in Indonesian doctors. Conclusion The findings indicate improvements in the Indonesian health system are necessary if the increasing rates of international medical tourism by Indonesian people are to change. Addressing the factors identified in this scoping review through avenues including policy may increase people’s satisfaction and trust towards health care and treatment in Indonesia, thereby reducing the number of Indonesian people taking medical tourism.
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spelling doaj.art-026ff11b84e9463491d055624e63eade2024-01-14T12:16:55ZengBMCBMC Health Services Research1472-69632024-01-0124111110.1186/s12913-023-10528-1Medical tourism among Indonesians: a scoping reviewGregorius Abanit Asa0Nelsensius Klau Fauk1Caitlan McLean2Paul Russell Ward3Research Centre for Public Health, Equity and Human Flourishing (PHEHF), Torrens University AustraliaResearch Centre for Public Health, Equity and Human Flourishing (PHEHF), Torrens University AustraliaResearch Centre for Public Health, Equity and Human Flourishing (PHEHF), Torrens University AustraliaResearch Centre for Public Health, Equity and Human Flourishing (PHEHF), Torrens University AustraliaAbstract Background International medical travel or medical tourism is not a new phenomenon in many countries, including among Indonesians. Indonesia is reported as a major source of patients from the lower, middle, to upper classes for its neighbouring countries. This scoping review aims to synthesise evidence on supporting factors for Indonesians taking medical tourism and what needs to be improved in Indonesia’s health system. Methods We conducted a scoping review guided by a framework provided by Arksey and O’Malley. We systematically searched existing literature from 5 databases, including MEDLINE, PubMed, Scopus, ProQuest, and Wiley. Data were extracted based on study details, study design, characteristics of participants and results. Analysis followed the three-stage procedure outlined by Thomas and Harden: (1) coding the text line by line, interpreting the data and identifying concepts or themes; (2) developing descriptive themes by grouping similar concepts in theme and subtheme and (3) generating analytical themes by reviewing preliminary themes and discussing the addition or revision of themes. Results A total of 25 articles were included in this review. The review highlights a broad range of facilitators for medical tourism among Indonesians: (i) availability of health services, medical specialities, and person-centred care, (ii) region adjacency, transport, and health agency, (iii) affordability of medical treatment, (iv) religious and socio-cultural factors, and (v) reasons patients reported distrust in Indonesian doctors. Conclusion The findings indicate improvements in the Indonesian health system are necessary if the increasing rates of international medical tourism by Indonesian people are to change. Addressing the factors identified in this scoping review through avenues including policy may increase people’s satisfaction and trust towards health care and treatment in Indonesia, thereby reducing the number of Indonesian people taking medical tourism.https://doi.org/10.1186/s12913-023-10528-1Scoping reviewInternational medical travelMedical tourismMedical treatmentIndonesia
spellingShingle Gregorius Abanit Asa
Nelsensius Klau Fauk
Caitlan McLean
Paul Russell Ward
Medical tourism among Indonesians: a scoping review
BMC Health Services Research
Scoping review
International medical travel
Medical tourism
Medical treatment
Indonesia
title Medical tourism among Indonesians: a scoping review
title_full Medical tourism among Indonesians: a scoping review
title_fullStr Medical tourism among Indonesians: a scoping review
title_full_unstemmed Medical tourism among Indonesians: a scoping review
title_short Medical tourism among Indonesians: a scoping review
title_sort medical tourism among indonesians a scoping review
topic Scoping review
International medical travel
Medical tourism
Medical treatment
Indonesia
url https://doi.org/10.1186/s12913-023-10528-1
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