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Research methodology is outlined below, followed by the policy implications of medical tourism for health systems at their governance, delivery, financing, human resources and regulation functions [ 32, 33].
Based on the health systems functions of governance, delivery, financing, human resources and regulation [ 32, 33], the conceptual framework aims to provide a basis for further empirical studies weighing the benefits and disadvantages of medical tourism for health systems, of particular relevance to countries in Southeast Asia.
The problems in Pakistan's health sector are endemic: limited human resources, spotty regulations, rampant corruption.
When the study goals are considered within a structural framework of input (human resources, financing and regulation) - process (organisation and delivery) - output, it becomes clear that many studies dealt with output and outcome [ 8- 19, 19, 22, 28, 32, 34- 38, 39, 39, 42, 50- 56, 57, 59, 59, 60, 62, 64, 68- 70, 72, 73, 75, 78- 80].
The role of central government in setting standards for professional practice and legal requirements for registration needs to be strengthened so that human resources policies, registration and regulation are mutually supportive.
Human resources technical capacity, medicines price regulation, out-of-pocket payments, cost containment policies, and quality assurance, were the main research gaps identified.
It is obvious, though, that skill mix and regulation of human resources for health is strongly affected by Global Fund activities, especially through the creation of numerous new types of front-line health workers.
'Reliable health and supply system' is meant to include all aspects of health system strengthening that are not covered by the other three dimensions: procurement and supply of medicines, regulation and human resources.
Using a categorization scheme adapted from Pocock and Phua's framework of policy implications emerging from medical tourism, the plans, issues, and actors referred to across the full dataset were organized into their respective domains (governance, financing, delivery, regulation, health human resources) by the first author.
