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A patient mobility framework that travels: European and United States-Mexican comparisons

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  • Laugesen, Miriam J.
  • Vargas-Bustamante, Arturo

Abstract

Objectives To develop a framework that parsimoniously explains divergent patient mobility in the United States and Europe.Method Review of studies of patient mobility; data from the 2007 Flash Eurobarometer and the 2001 California Health Interview Survey was analyzed; and we reviewed government policies and documents in the United States and Europe.Results Four types of patient mobility are defined: primary, complementary, duplicative, and institutionalized. Primary exit occurs when people without comprehensive insurance travel because they cannot afford to pay for health insurance or directly finance care, as in the United States and Mexico. Second, people will exit to buy complementary services not covered, or partially covered by domestic health insurance, in both the United States and Europe. Third, in Europe, patient mobility for duplicative services provides faster or better quality treatment. Finally, governments and insurers can encourage institutionalized exit through expanded delivery options and financing. Institutionalized exit is developing in Europe, but uncoordinated and geographically limited in the United States.Conclusions This parsimonious framework explains patient mobility by considering domestic health system characteristics relating to cost and quality.

Suggested Citation

  • Laugesen, Miriam J. & Vargas-Bustamante, Arturo, 2010. "A patient mobility framework that travels: European and United States-Mexican comparisons," Health Policy, Elsevier, vol. 97(2-3), pages 225-231, October.
  • Handle: RePEc:eee:hepoli:v:97:y:2010:i:2-3:p:225-231
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    References listed on IDEAS

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    1. Brown, Henry Shelton, 2008. "Do Mexican immigrants substitute health care in Mexico for health insurance in the United States? The role of distance," Social Science & Medicine, Elsevier, vol. 67(12), pages 2036-2042, December.
    2. Garcia, Carolyn & Pagán, José A. & Hardeman, Rachel, 2010. "Context matters: Where would you be the least worse off in the US if you were uninsured?," Health Policy, Elsevier, vol. 94(1), pages 76-83, January.
    3. H. Brown & José Pagán & Elena Bastida, 2009. "International competition and the demand for health insurance in the US: evidence from the Texas–Mexico border region," International Journal of Health Economics and Management, Springer, vol. 9(1), pages 25-38, March.
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    4. Mainil, Tomas & Van Loon, Francis & Dinnie, Keith & Botterill, David & Platenkamp, Vincent & Meulemans, Herman, 2012. "Transnational health care: From a global terminology towards transnational health region development," Health Policy, Elsevier, vol. 108(1), pages 37-44.
    5. Laura Kemppainen & Veera Koskinen & Harley Bergroth & Eetu Marttila & Teemu Kemppainen, 2021. "Health and Wellness–Related Travel: A Scoping Study of the Literature in 2010-2018," SAGE Open, , vol. 11(2), pages 21582440211, May.
    6. Claudia Finotelli, 2021. "Cross‐border Healthcare in the EU: Welfare Burden or Market Opportunity? Evidence from the Spanish Experience," Journal of Common Market Studies, Wiley Blackwell, vol. 59(3), pages 608-624, May.
    7. Glinos, Irene A. & Doering, Nora & Maarse, Hans, 2012. "Travelling home for treatment and EU patients’ rights to care abroad: Results of a survey among German students at Maastricht University," Health Policy, Elsevier, vol. 105(1), pages 38-45.
    8. Perna, Roberta & Cruz-Martínez, Gibrán & Moreno Fuentes, Francisco Javier, 2022. "Patient mobility within national borders. Drivers and politics of cross-border healthcare agreements in the Spanish decentralized system," Health Policy, Elsevier, vol. 126(11), pages 1187-1193.
    9. Hanefeld, J. & Lunt, N. & Smith, R. & Horsfall, D., 2015. "Why do medical tourists travel to where they do? The role of networks in determining medical travel," Social Science & Medicine, Elsevier, vol. 124(C), pages 356-363.
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