Abstract
In many countries around the world an adequate financing of healthcare has been increasingly challenging in recent decades and has triggered a wide range of reform measures which are aimed at reigning in spiralling healthcare costs. In this paper it is examined in how far these developments have had an impact specifically on the demand and supply of medical tourism. The study is based on the analysis of four countries, Germany, Australia, Italy and Poland, which represent different types of healthcare systems regarding their service provision, financing and regulation. The paper demonstrates that the approach to healthcare governance adopted in the four case studies has led to distinct landscapes of medical tourism. It provides a welcome contribution to the still very limited body of research on the interplay of healthcare systems, health policies and medical tourism. It highlights the dynamics and complexities experienced in different destination contexts and in doing so offer a novel comparative perspective.
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