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But negative information can also influence patients to choose another hospital resulting in an outflow of patients.
Prevalence can be the main driver in BIA for chronic diseases, where the annual inflow (incidence) equals the annual outflow of patients (e.g. improvement, progression or mortality) within the registered indication.
Like many other low-to-middle income countries, Mongolia is seeing a significant outflow of patients to countries such as China, Japan, South Korea, and Thailand for medical care.
In addition to poor perceptions of the system, better information about the services offered domestically was thought to be a needed response to addressing the issue of the outflow of patients to neighbouring countries for private medical care.
Expanding on these worries, here we examine the concerns and proposed responses that are developing due to observations or growing awareness of the outflow of patients from Mongolia and their consequent economic effects.
An analysis of the resulting interview transcripts led us to identify four groups (politicians and government officials, physicians, administrators, and patients) with a role to play in effectively responding to the problematic outflow of patients from Mongolia.
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This is consistent with research examining the outflows of patients from other countries, including Yemen and Canada [ 7, 10].
Inflows and outflows of patients are very limited in a STM, except for specific and advanced treatment of certain special conditions.
While these proposed responses focus on the Mongolian context, they also provide warnings and lessons for other low-to-middle income countries experiencing similar outflows of patients.
Medical tourism involves patients' intentional travel to privately obtain medical care in another country. 1 2 Outflows of patients are reported to be increasing as they seek more accessible, affordable or unrestricted care elsewhere.
As such, it would behoove public health agencies and organizations in countries with identified outflows of patients who are traveling abroad as medical tourists to develop interventions that will ensure traveler and public health.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com