Dutch citizens of Turkish origin who utilize healthcare services in Turkey: a qualitative study on motives and contextual factors

BMC Health Serv Res. 2018 Apr 17;18(1):289. doi: 10.1186/s12913-018-3026-9.

Abstract

Background: Dutch residents of Turkish origin frequently utilize healthcare in Turkey.

Methods: To 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.

Results: Respondents believed their perceived needs for referral to specialist care and diagnostic assessments to quantify their health were not being met in the Netherlands.

Conclusions: These mismatches in expectations of what constitutes "good care" led to dissatisfaction with Dutch primary care. Consequently, respondents utilized healthcare in Turkey if the opportunity arose, and were encouraged in this by their social networks. Establishing cross-border communication between healthcare providers is necessary, because there is currently no continuity of care for cross-border patients.

Keywords: Accessibility; Cross-border care; Ethnicity; Health services research; Medical tourism; Turkish origin.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Communication
  • Continuity of Patient Care / standards
  • Delivery of Health Care / standards
  • Emigration and Immigration / statistics & numerical data
  • Emotions
  • Ethnicity
  • Female
  • Health Services / statistics & numerical data*
  • Humans
  • Interprofessional Relations
  • Male
  • Medical Tourism / psychology
  • Medical Tourism / statistics & numerical data
  • Middle Aged
  • Motivation*
  • Netherlands
  • Patient Acceptance of Health Care / ethnology*
  • Patient Acceptance of Health Care / psychology
  • Patient Acceptance of Health Care / statistics & numerical data
  • Perception
  • Qualitative Research
  • Turkey / ethnology