Motives for Medical Tourism Amongst Cancer Patients in Oman

Raya Al Shaaibi
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Abstract

Background: Traveling abroad to seek an opinion about diagnosis or treatment is a common practice in medicine, especially in the field of oncology. In Oman, patients diagnosed with cancer frequently travel with their families to seek an opinion, sometimes even before consulting a medical/surgical oncologist at home. The purpose of this study was to report and study the prevalence and motives of medical tourism amongst patients diagnosed to have cancer in Oman. Methods: A cross sectional, retrospective study involving patients admitted to the medical oncology unit at the Sultan Qaboos University Hospital was conducted. Patients with a biopsy-proven cancer who were admitted to the wards and the day-care unit between October 2016 and March 2017 were invited to participate. A semi-structured interview consisting of 3 parts was used to obtain information on demographics, motives and satisfaction with travel. Results: Of the 100 patients who were invited, a total of 64 patients participated in the study and completed the questionnaire. Of these 64 subjects, 24 (38%) traveled abroad to seek a second opinion. The primary reasons for traveling abroad to seek a second opinion were as follows: poor perception about health care in Oman (31%), expectations of a better healthcare overseas (12%), dissatisfaction with the communication or explanation by the healthcare providers in Oman, or concerns about delay in treatment (24%), and societal pressures (33%). Conclusion: A significant proportion of patients traveled abroad to seek a second opinion after getting a diagnosis of cancer, main reasons being societal pressures, dissatisfaction with the communication, or concerns of delay in initiating treatment in Oman.
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阿曼癌症患者的医疗旅游动机
背景:到国外寻求诊断或治疗意见是医学上的一种常见做法,特别是在肿瘤领域。在阿曼,被诊断患有癌症的患者经常与家人一起旅行寻求意见,有时甚至在咨询国内的内科/外科肿瘤学家之前。本研究的目的是报告和研究阿曼诊断为癌症的患者中医疗旅游的患病率和动机。方法:对苏丹卡布斯大学医院肿瘤内科收治的患者进行横断面回顾性研究。2016年10月至2017年3月期间入住病房和日托病房的活检证实的癌症患者被邀请参加。采用半结构化访谈法,包括3个部分来获取人口统计信息、旅游动机和旅游满意度。结果:被邀请的100名患者中,共有64名患者参与了研究并完成了问卷调查。在这64名受试者中,有24人(38%)出国寻求第二意见。前往国外寻求第二意见的主要原因如下:对阿曼的医疗保健认识不佳(31%),期望在海外获得更好的医疗保健(12%),对阿曼医疗保健提供者的沟通或解释不满意,或担心治疗延误(24%),以及社会压力(33%)。结论:有相当比例的患者在诊断出癌症后出国寻求第二意见,主要原因是社会压力、对沟通不满意或担心在阿曼延迟开始治疗。
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