2018
DOI: 10.1186/s12913-018-3026-9
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Dutch citizens of Turkish origin who utilize healthcare services in Turkey: a qualitative study on motives and contextual factors

Abstract: BackgroundDutch residents of Turkish origin frequently utilize healthcare in Turkey.MethodsTo investigate their motives for doing so, we conducted a qualitative study among these healthcare users using semi-structured interviews. We complemented this with informal conversations with Turkish healthcare providers and observations at the registration offices and waiting rooms of outpatient clinics in several Turkish hospitals.ResultsRespondents believed their perceived needs for referral to specialist care and di… Show more

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Cited by 16 publications
(18 citation statements)
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“…In many instances, diasporic travellers used healthcare services back in their countries of origin while conducting the travel labelled in the scientific literature as 'Visiting Friends and Relatives' (VFR) [44,45,57,61,62]. This factor of time availability was termed by certain authors as by-the-by factor [44], or aprovechar (meaning 'to take advantage of') in reference to the Mexican context [57] or add-on treatments [60].…”
Section: Time Availability ("By the Way Of Being Home")mentioning
confidence: 99%
“…In many instances, diasporic travellers used healthcare services back in their countries of origin while conducting the travel labelled in the scientific literature as 'Visiting Friends and Relatives' (VFR) [44,45,57,61,62]. This factor of time availability was termed by certain authors as by-the-by factor [44], or aprovechar (meaning 'to take advantage of') in reference to the Mexican context [57] or add-on treatments [60].…”
Section: Time Availability ("By the Way Of Being Home")mentioning
confidence: 99%
“…Despite a strong primary health care system served by family physicians and general practitioners, patients could choose to visit directly a medical specialist in public and private hospitals without any restrictions and with a minimal extra cost (Yardim & Uner, 2018). The lack of the obligatory referral system is one of the major differences between the healthcare systems of Turkey and most of the European countries (Sekercan et al, 2018). When we examined some of the general health statistics: The number of physicians in 2018 was 153,128 and the number of persons per physician was 536 (TUIK, 2018).…”
Section: Inherited Eye Diseases In Turkeymentioning
confidence: 99%
“…People with migration backgrounds have long included transnational medical travel in their therapeutic coping toolboxes. Key drivers for transnational medical travel include dissatisfaction and disenfranchisement with the health systems in their countries of residence, familiarity and identification with the health systems in the countries in which they have lived or visited previously, cultural and linguistic competencies of medical professionals in destination health systems, the presence of extended family support networks abroad, economic differentials between countries of residence and destination, and the ease of cross-border movement (Beijers and de Freitas 2008;Lee, Kearns, and Friesen 2010;Horton and Cole 2011;Ormond 2013Ormond , 2016Sime 2014;Şekercan et al 2015;Şekercan et al 2018). Migrants, however, are increasingly joined by non-migrants that have likewise experienced some form of dissatisfaction and disenfranchisement withor destruction of (Dewachi, Rizk, and Singh 2018)the health systems in their countries of residence and decided to engage in temporary international travel in order to meet their health needs and wishes.…”
Section: Who Uses Transnational Medical Travel As a Therapeutic Copinmentioning
confidence: 99%
“…Rather, it is mediated by degrees of familiarity and identification with health systems, degrees of cultural and linguistic competence on the part of patients and medical professionals, and the presence of extended family support networks. It is shaped by wider structural dynamics: socio-economic processes, legal status and the ease of cross-border movement (Lee, Kearns, and Friesen 2010;Horton and Cole 2011;Sime 2014;Şekercan et al 2015;Şekercan et al 2018), and, notably, regional politics and domestic instability.…”
Section: Grounding Transnational Medical Travel In Broader Global Promentioning
confidence: 99%