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The last frontier of globalization: Trade and foreign direct investment in healthcare

Author

Listed:
  • Oded Shenkar

    (The Ohio State University)

  • Guoyong Liang

    (United Nations Conference on Trade and Development)

  • Rakefet Shenkar

    (Wright State University)

Abstract

Internationalizing far later than other sectors, healthcare has seen trade and foreign direct investment (FDI) grow in recent years. While part of the service economy, healthcare has unique features that distinguish it from other service sectors and imprint on its globalization and spillover patterns. In this paper, we review the trends in healthcare internationalization, its drivers, and the obstacles standing in the way. We outline the special characteristics of the healthcare sector and how they affect the positive and negative spillovers from trade and FDI for home and host-countries. Implications for international business theory, research, and policy are delineated.

Suggested Citation

  • Oded Shenkar & Guoyong Liang & Rakefet Shenkar, 2022. "The last frontier of globalization: Trade and foreign direct investment in healthcare," Journal of International Business Studies, Palgrave Macmillan;Academy of International Business, vol. 53(2), pages 362-374, March.
    • Handle: RePEc:pal:jintbs:v:53:y:2022:i:2:d:10.1057_s41267-021-00439-w
    DOI: 10.1057/s41267-021-00439-w
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    as
    1. Romer, Paul M, 1986. "Increasing Returns and Long-run Growth," Journal of Political Economy, University of Chicago Press, vol. 94(5), pages 1002-1037, October.
    2. Aitken, Brian & Hanson, Gordon H. & Harrison, Ann E., 1997. "Spillovers, foreign investment, and export behavior," Journal of International Economics, Elsevier, vol. 43(1-2), pages 103-132, August.
    3. Philip Stevens & Jasson Urbach & Gabrielle Wills, 2013. "Healthy Trade: The Relationship Between Open Trade and Health," Foreign Trade Review, , vol. 48(1), pages 125-135, February.
    4. Smith, Richard & Martínez Álvarez, Melisa & Chanda, Rupa, 2011. "Medical tourism: A review of the literature and analysis of a role for bi-lateral trade," Health Policy, Elsevier, vol. 103(2), pages 276-282.
    5. Koizumi, Tetsunori & Kopecky, Kenneth J., 1977. "Economic growth, capital movements and the international transfer of technical knowledge," Journal of International Economics, Elsevier, vol. 7(1), pages 45-65, February.
    6. Roger Smeets, 2008. "Collecting the Pieces of the FDI Knowledge Spillovers Puzzle," The World Bank Research Observer, World Bank, vol. 23(2), pages 107-138, March.
    7. James R. MARKUSEN, 2021. "Multinationals, Multi-Plant Economies, And The Gains From Trade," World Scientific Book Chapters, in: BROADENING TRADE THEORY Incorporating Market Realities into Traditional Models, chapter 1, pages 3-24, World Scientific Publishing Co. Pte. Ltd..
    8. Peter J. Buckley & Mark Casson, 1991. "The Future of the Multinational Enterprise," Palgrave Macmillan Books, Palgrave Macmillan, edition 0, number 978-1-349-21204-0, December.
    9. Oh, Chang Hoon & Kim, Minyoung & Shin, Jiyoung, 2019. "Paths and geographic scope of international expansion across industries," International Business Review, Elsevier, vol. 28(3), pages 560-574.
    10. Molly Lesher & Sébastien Miroudot, 2008. "FDI Spillovers and their Interrelationships with Trade," OECD Trade Policy Papers 80, OECD Publishing.
    11. repec:bla:econom:v:38:y:1971:i:149:p:1-27 is not listed on IDEAS
    12. Robert E. Hall & Charles I. Jones, 2007. "The Value of Life and the Rise in Health Spending," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 122(1), pages 39-72.
    13. Yingqi Wei & Xiaming Liu & Chengang Wang, 2008. "Mutual productivity spillovers between foreign and local firms in China," Cambridge Journal of Economics, Cambridge Political Economy Society, vol. 32(4), pages 609-631, July.
    14. Fregidou-Malama, Maria & Hyder, Akmal S., 2015. "Impact of culture on marketing of health services – Elekta in Brazil," International Business Review, Elsevier, vol. 24(3), pages 530-540.
    15. Lautier, Marc, 2014. "International trade of health services: Global trends and local impact," Health Policy, Elsevier, vol. 118(1), pages 105-113.
    16. Jan Johanson & Jan-Erik Vahlne, 1977. "The Internationalization Process of the Firm—A Model of Knowledge Development and Increasing Foreign Market Commitments," Journal of International Business Studies, Palgrave Macmillan;Academy of International Business, vol. 8(1), pages 23-32, March.
    17. Rueda-Cantuche, José & Kerner, Riina & Cernat, Lucian & Ritola, Veijo, 2016. "Trade in services by GATS modes of supply: Statistical concepts and first EU estimates," DG TRADE Chief Economist Notes 2016-3, Directorate General for Trade, European Commission.
    18. Tomas Havranek & Zuzana Irsova, 2012. "Survey Article: Publication Bias in the Literature on Foreign Direct Investment Spillovers," Journal of Development Studies, Taylor & Francis Journals, vol. 48(10), pages 1375-1396, October.
    19. Aitken, Brian & Harrison, Ann & DEC, 1994. "Do domestic firms benefit from foreign direct investment? Evidence from panel data," Policy Research Working Paper Series 1248, The World Bank.
    20. Vandermerwe, Sandra & Gilbert, Douglas, 1989. "Making internal services market driven," Business Horizons, Elsevier, vol. 32(6), pages 83-89.
    21. Alan M Rugman, 1976. "Risk Reduction by International Diversification," Journal of International Business Studies, Palgrave Macmillan;Academy of International Business, vol. 7(2), pages 75-80, June.
    22. Fetscherin, Marc & Stephano, Renee-Marie, 2016. "The medical tourism index: Scale development and validation," Tourism Management, Elsevier, vol. 52(C), pages 539-556.
    23. Damijan, Jože P. & Rojec, Matija & Majcen, Boris & Knell, Mark, 2013. "Impact of firm heterogeneity on direct and spillover effects of FDI: Micro-evidence from ten transition countries," Journal of Comparative Economics, Elsevier, vol. 41(3), pages 895-922.
    24. Uner, M. Mithat & Cetin, Burak & Cavusgil, S. Tamer, 2020. "On the internationalization of Turkish hospital chains: A dynamic capabilities perspective," International Business Review, Elsevier, vol. 29(3).
    25. Michael Mann, 2017. "Exploratory Estimates of U.S. International Services by Mode of Supply," BEA Working Papers 0143, Bureau of Economic Analysis.
    26. Du, Luosha & Harrison, Ann & Jefferson, Gary H., 2012. "Testing for horizontal and vertical foreign investment spillovers in China, 1998–2007," Journal of Asian Economics, Elsevier, vol. 23(3), pages 234-243.
    27. Haddad, Mona & Harrison, Ann, 1993. "Are there positive spillovers from direct foreign investment? : Evidence from panel data for Morocco," Journal of Development Economics, Elsevier, vol. 42(1), pages 51-74, October.
    28. John H Dunning, 1980. "Towards an Eclectic Theory of International Production: Some Empirical Tests," Journal of International Business Studies, Palgrave Macmillan;Academy of International Business, vol. 11(1), pages 9-31, March.
    29. Brian Toyne & Douglas Nigh, 1998. "A More Expansive View of International Business," Journal of International Business Studies, Palgrave Macmillan;Academy of International Business, vol. 29(4), pages 863-875, December.
    30. Jiatao Li & Stephen Guisinger, 1992. "The Globalization of Service Multinationals in the “Triad” Regions: Japan, Western Europe and North America," Journal of International Business Studies, Palgrave Macmillan;Academy of International Business, vol. 23(4), pages 675-696, December.
    31. Anthony Goerzen & Shige Makino, 2007. "Multinational corporation internationalization in the service sector: a study of Japanese trading companies," Journal of International Business Studies, Palgrave Macmillan;Academy of International Business, vol. 38(7), pages 1149-1169, December.
    32. J. Outreville, 2007. "Foreign direct investment in the health care sector and most-favoured locations in developing countries," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 8(4), pages 305-312, December.
    33. Cheung Kui-yin & Lin, Ping, 2004. "Spillover effects of FDI on innovation in China: Evidence from the provincial data," China Economic Review, Elsevier, vol. 15(1), pages 25-44.
    34. Peter J Buckley & Jeremy Clegg & Chengqi Wang, 2002. "The Impact of Inward FDI on the Performance of Chinese Manufacturing Firms," Journal of International Business Studies, Palgrave Macmillan;Academy of International Business, vol. 33(4), pages 637-655, December.
    35. J J Boddewyn & Marsha Baldwin Halbrich & A C Perry, 1986. "Service Multinationals: Conceptualization, Measurement and Theory," Journal of International Business Studies, Palgrave Macmillan;Academy of International Business, vol. 17(3), pages 41-57, September.
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