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https://doi.org/10.18502/jsp.v2i1.11177

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authors

  • Maria Jose Cavagnaro

    Maria Jose Cavagnaro

    University of Arizona, College of Medicine-Phoenix
  • Amna Hussein

    Amna Hussein

    University of Arizona, College of Medicine-Phoenix
  • Jose Manuel Orenday-Barraza

    Jose Manuel Orenday-Barraza

    University of Arizona, College of Medicine-Phoenix
  • Nayef Bin Dajim

    Nayef Bin Dajim

    epartment of Neurosurgery, King Fahad Specialist Hospital (KFSHD) Dammam, Saudi Arabia 
  • Abdulkarim Al-Rabie

    Abdulkarim Al-Rabie

    Department of Neurosurgery, Prince Sultan Military Medical City (PSMMC) Riyadh, Saudi Arabia
  • Robert Crone

    Robert Crone

    President & CEO. Strategy Implemented, Inc. 27 Gray Street, Boston, MA, United States of America
  • Saleh Baeesa

    Saleh Baeesa

    Faculty of Medicine at King Abdulaziz University (KAU), Jeddah, Saudi Arabia
  • Ali Baaj

    Ali Baaj

    University of Arizona, College of Medicine- Phoenix, Arizona, USA

Published Date

  • Dec 16, 2022

Optimizing outcomes and experience for patients traveling abroad for spine surgery: A survey of neurosurgeons and orthopedic spine surgeons in Saudi Arabia

Journal of Spine Practice (JSP) / Journal of Spine Practice (JSP): Volume 2, Issue 1 / Pages 2–10

Abstract

Background: It is widely accepted that patients with complex medical diagnoses and those with the means will travel for specialized medical care abroad. For various reasons, patients from the Gulf countries, including the Kingdom of Saudi Arabia (KSA), have comprised a significant proportion of patients traveling abroad for care. Rarely, however, have local physicians and surgeons been involved at the granular level in these decisions. This study aims to better understand the opinions, insights, and suggestions of local spine surgeons in KSA on the outbound surgical services provided to their patients.


Materials and Methods: A cross-sectional study was conducted from April 11 to April 27, 2022. An electronic Qualtrics online survey with 12 items was sent to all spine surgeons from KSA, identified by the local neurosurgery, orthopedics, and spine societies.


Results: A total of 110 participants were identified with 86 responses. The patient’s perception of the local system, the complexity of the case, and the opportunity for tourism, in that order, were selected as the main reasons for patients traveling abroad. The top three destinations for spine surgery were Germany (31%), the USA (23%), and Egypt (16%). Hospital and surgeon’s reputations were chosen as the most likely factors for patients to select their destination. The quality of care received abroad was considered fair (49%) or good (31%), while the communication between stakeholders and the patient was considered poor by 72% and 52% of the respondents, respectively.


Conclusion: This study highlights the need to engage local physicians in the conversation involving destination services. While most Saudi surgeons surveyed consider the care abroad acceptable for their patients, the vast majority have identified a gap in communication among treating physicians, local physicians, and patients. Many have also suggested a need for better education and awareness locally to improve the perception of the local capabilities.

Keywords:

Saudi Arabia, Spine surgery, Medical tourism, Traveling abroad, Destination services, Patient migration

References
[1] Baeesa S, Maghrabi Y, Bajoh S, Bajammal S. Assessing the evolution and level of evidence of spine surgery research in Saudi Arabia. J Health Spec 2018; 6(2): 52.

[2] Johnson TJ, Garman AN. Impact of medical travel on imports and exports of medical services. Health Policy 2010; 98(2–3): 171–177.

[3] Loh CA, Triplett RE. International accreditation, linguistic proximity, and trade in medical services. Soc Sci Med 2019; 238: 112403.

[4] Runnels V, Carrera PM. Why do patients engage in medical tourism? Maturitas 2012; 73(4): 300–304.

[5] Al-Amin M, Makarem SC, Pradhan R. Hospital ability to attract international patients: a conceptual framework. Int J Pharm Healthc Mark 2011; 5(3): 205–221.

[6] Nchl.org. Accessed May 24, 2022. https://www.nchl.org/ wp-content/uploads/2018-2019

[7] Imf.org. Accessed May 24, 2022. https://www. imf.org/en/Publications/WEO/Issues/2022/04/19/ world-economic-outlook-april-2022?adlt=strict

[8] Connell J. Contemporary medical tourism: Conceptualisation, culture, and commodification. Tour Manag 2013; 34: 1–13.

[9] Noree T, Hanefeld J, Smith R. Medical tourism in Thailand: A cross-sectional study. Bull World Health Organ 2016; 94(1): 30–36.

[10] Lautier M. Export of health services from developing countries: The case of Tunisia. Soc Sci Med 2008; 67(1): 101–110.

[11] Suzana M, Walls H, Smith R, Hanefeld J. Understanding medical travel from a source country perspective: A cross sectional study of the experiences of medical travelers from the Maldives. Global Health 2018; 14(1): 58.

[12] Crooks VA, Kingsbury P, Snyder J, Johnston R. What is known about the patient’s experience of medical tourism? A scoping review. BMC Health Serv Res 2010; 10(1): 266.

[13] Foley BM, Haglin JM, Tanzer JR, Eltorai AEM. Patient care without borders: A systematic review of medical and surgical tourism. J Travel Med 2019; 26(6).

[14] Fottler MD, Malvey D, Asi Y, Kirchner S, Warren NA. Can inbound and domestic medical tourism improve your bottom line? Identifying the potential of a U.S. tourism market. J Healthc Manag 2014; 59(1): 49–63.

[15] Panteli D, Wagner C, Verheyen F, Busse R. ‘Know before you go’: Information-seeking behaviour of German patients receiving health services abroad in light of the provisions of Directive 2011/24/EU. J Health Serv Res Policy 2015; 20(3): 154–161.

[16] Alghamdi S, Nabi Z, Alkhafaji D, Askandrani S, Abdelsalam M, Shukri M, et al. Transplant tourism outcome: A single center experience. Transplantation 2010; 90(2): 184–188.

[17] Allam N, Al Saghier M, El Sheikh Y, Al Sofayan M, Khalaf H, Al Sebayel M, et al. Clinical outcomes for Saudi and Egyptian patients receiving deceased donor liver transplantation in China. Am J Transplant 2010; 10(8): 1834–1841.

[18] Al-Shamsi HO, Al-Hajeili M, Alrawi S. Chasing the cure around the globe: Medical tourism for cancer care from developing countries. J Glob Oncol 2018; 4: 1–3.

[19] Karuppan CM, Karuppan M. Changing trends in health care tourism. Health Care Manag (Frederick) 2010; 29(4): 349–358.

[20] Qolipour M, Torabipour A, Faraji Khiavi F, Saki Malehi A. Assessing medical tourism services quality using SERVQUAL model: A patient’s perspective. Iran J Public Health 2018; 47(1): 103–110.

[21] Bertowitz EN, Flexner WA. The market for health services: Is there a non-traditional consumer. J Health Care Mark 1980; 1(1): 25–34.

[22] Victoor A, Delnoij DMJ, Friele RD, Rademakers JJDJM. Determinants of patient choice of healthcare providers: A scoping review. BMC Health Serv Res 2012; 12(1): 272.

[23] Tay A. Assessing competition in hospital care markets: The importance of accounting for quality differentiation. RAND J Econ 2003; 34(4): 786–814.

[24] Bulatovic I, Iankova K. Barriers to medical tourism development in the United Arab Emirates (UAE). Int J Environ Res Public Health 2021; 18(3): 1365.

[25] Siddiqi S, Shennawy A, Mirza Z, Drager N, Sabri B. Assessing trade in health services in countries of the Eastern Mediterranean from a public health perspective. Int J Health Plann Manage 2010; 25(3): 231–250.

[26] Dang H-S, Huang Y-F, Wang C-N, Nguyen T-M-T. An application of the short-term forecasting with limited data in the healthcare traveling industry. Sustainability 2016; 8(10): 1037.