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Related Experiment Videos

Trading patients. Lessons from Scandinavia.

Grete Botten1, Sverre Grepperud, Sölve Mikal Nerland

  • 1Centre for Health Administration, University of Oslo, Rikshospitalet, NO-0027 Oslo, Norway.

Health Policy (Amsterdam, Netherlands)
|July 28, 2004
PubMed
Summary

Cross-border healthcare trade, like Norway's Patient Bridge project, shows potential for mutual gains. However, high transaction and treatment costs indicate a need for better cost-consciousness in purchasing organizations.

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Area of Science:

  • Health Policy
  • Health Economics
  • International Healthcare Services

Background:

  • Anticipated increase in global trade of services, including healthcare.
  • Initiation of the Norwegian parliament's 'The Patient Bridge' project for cross-border patient treatment.

Purpose of the Study:

  • To describe the outcomes and challenges of the 'The Patient Bridge' project.
  • To analyze the economic factors influencing cross-border patient mobility.
  • To identify opportunities for cost savings and mutual benefits in international healthcare trade.

Main Methods:

  • Descriptive analysis of the 'The Patient Bridge' health policy reform.
  • Evaluation of patient participation factors (information, support).
  • Assessment of project costs, including transaction and treatment expenses.

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Main Results:

  • Physician resistance was observed, but patients were willing to participate with adequate information and support.
  • The project incurred significant costs due to transportation, escort, and high treatment expenses.
  • Insufficient cost-consciousness in the purchasing organization contributed to excessive treatment costs.
  • Identified substantial price variations among Norwegian, foreign, and even intra-country hospitals.

Conclusions:

  • Cross-border patient mobility presents opportunities for economic benefits.
  • Addressing transaction costs and improving cost-consciousness are crucial for the financial viability of such initiatives.
  • Price differentials highlight the potential for strategic purchasing in international healthcare markets.