‘Outsourced’ patients and their companions: Stories from forced medical travellers

Abstract

In this paper, I describe the experience of ‘outsourced’ patients who are sent by their governments or insurers through contractual arrangements to a hospital in another country for treatment. I present case studies of nine patients and their accompanying families from the Gulf Cooperation Council (GCC) who were interviewed in a Thai hospital as part of a broader study of medical travel from patients' perspectives. The health systems of the GCC suffer shortages in infrastructure, human resources and management skills, and as a consequence patients with particular needs, especially in neurology, orthopaedics and oncology may be sent overseas for treatment. Patients experience long stays overseas producing a considerable burden to their families supporting them. Such patients complicate notions of medical travel but their status also contrasts markedly from stereotypes held about Gulf patients within Thailand. Despite their appreciation of government sponsoring, for many patients the experience of care in Thailand underscored perceived inadequacies of their home health systems and governments. For some, outsourcing represented a betrayal of the obligations of their states to its citizens.

Keywords:

• medical travel
• medical tourism
• Gulf Cooperation Council
• Thailand
• medical companions

Acknowledgement

I wish to thank Professor Chee Heng Leng for her collaboration on this study and all the staff and patients who participated in this research.

Disclosure statement

No potential conflict of interest was reported by the author.

Additional information

Funding

This work was supported by the Australian Government through an Australian Research Council under a Future Fellowship [grant number FT110100054] and an ARC Discovery Project [grant number DP 1094895].