杂志文章@ 14388871 % JMIR出版公司%V 16% N 卡塔尔世界杯8强波胆分析2% P P 43% T用医疗游客的话来说:Ozan-Rafferty,Margaret E %A Johnson,James A %A Shah,Gulzar H %A Kursun,Attila + Dignity Health,内华达市场,圣罗斯多米尼加医院,832 Harbor Beach Court,亨德森,NV, 89002,美国,1 3126595453meorafferty@gmail.com %K医疗旅游%K土耳其%K旅行博客%K个人叙述%K定性研究%K患者满意度%K医疗保健交付%K全球化%K社交媒体国际化%D 2014 %7 06.02.2014 %9原创论文%J J医学互联网Res %G英语%X背景:患者经常前往西方寻求先进的医疗护理,但现在趋势也在向相反的方向转变。许多来自西方国家的人现在到国外寻求治疗。这种现象被称为医疗旅游或健康旅游。关于健康旅行者的实际结果、经验和看法的信息缺乏或不充分。然而,先进的互联网技术和应用程序提供了医疗旅游的信息,是患者分享经验的工具。土耳其拥有大量国际认可的医院,是顶级旅游目的地,并将自己定位为吸引国际患者。目的:本研究的目的是确定健康旅行者的重要个体特征,概述在土耳其寻求医疗保健的推动和拉动因素,确定对这些个人治疗结果和结果的满意度,并注意影响他们对患者健康旅行的看法和总体体验的积极和消极因素。方法:本研究采用定性数据,从互联网叙事医疗游客到土耳其。 Ethical considerations of using Internet narratives were reviewed. Narratives for analysis were obtained by using the Google search engine and using multiple search terms to obtain publicly posted blogs and discussion board postings of health travelers via purposeful sampling. Narratives were included if they were written in English, described travel to Turkey for health care, and were publicly accessible. Exclusion criteria included narratives that were on medical tourism facilitator or provider promotional websites, not in English, and did not describe an experience of a medical tourist. Medical tourists’ written words were analyzed in an iterative analytic process using narrative analysis theory principles. Three stages of coding (open, axial, and selective) were conducted to identify characteristics and themes using qualitative analysis software. Results: The narrative posts of 36 individuals undergoing 47 procedures who traveled to Turkey for medical care between 2007 and 2012 were analyzed. The narratives came from 13 countries, not including the narratives for which patient origin could not be determined. Travelers were predominantly from Europe (16/36, 44%) and North America (10/36, 28%). Factors driving travelers away from their home country (push factors) were cost and lack of treatment options or insufficient insurance coverage in their home country. Leading factors attracting patients to destination (pull factors) were lower costs, physician’s expertise and responsiveness, and familiarity or interest in Turkey. Health travelers to Turkey were generally satisfied with the outcomes of their procedures and care provided by their physicians, many noting intent to return. Communication challenges, food, transportation, and gaps in customer service emerged as key areas for improvement. Conclusions: This analysis provides an understanding of the insights of medical tourists through the words of actual health travelers. This nonintrusive methodology provides candid insights of common themes of health travelers and may be applied to study other patient experiences. The findings of this research expands the body of knowledge in medical tourism and serves as a platform for further qualitative and quantitative research on health travelers’ experiences. %M 24513565 %R 10.2196/jmir.2694 %U //www.mybigtv.com/2014/2/e43/ %U https://doi.org/10.2196/jmir.2694 %U http://www.ncbi.nlm.nih.gov/pubmed/24513565
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