Globalisation, Health Care System & Services, and Health Tourism: A Systematic Review


  • Mohammad Faisal Jamia Millia Islamia, New Delhi.
  • Devendra Kumar Dhusia Jamia Millia Islamia, New Delhi.



Globalisation, Health Care System, Health Care Services, Health Tourism, International Trade


This paper explores healthcare globalisation’s repercussions on the healthcare system and services through exploring the existing literature. Globalisation has been providing opportunities to people in every area, including health, but it also has harmful effects on people, health systems, and health services. The researcher conducted a systematic literature review to gain insights into the link between globalisation and health. The keywords used for the searches are “Globalisation and Health System”, “Globalisation and Health Services, “Globalisation and Health Tourism”, and “Globalisation and Medical Tourism”. A total of 47 articles were identified as pertinent for inclusion. The study pointed out that the focus of the literature is shifting toward the role of international agencies in healthcare, international relations’ role, global governance in healthcare, more complex nature of social determinants of health (SDHs), etc. The findings of this study will assist health tourism marketers in identifying their target segment of health tourists.

Author Biographies

Mohammad Faisal, Jamia Millia Islamia, New Delhi.

Department of Commerce and Business Studies, Jamia Millia Islamia, New Delhi, India.

Devendra Kumar Dhusia, Jamia Millia Islamia, New Delhi.

Department of Commerce and Business Studies, Jamia Millia Islamia, New Delhi, India.


Ali, M. M., & Medhekar, A. (2016). Globalization, medical travel and healthcare management in Bangladesh. Problems and Perspectives in Management, 14(2).

Attamah, N., & Kalu, C. U. (2020). Economic globalization and population health outcomes in Nigeria: implications of achieving the health sustainable development goals (SDGs). International Journal of Scientific and Research Publications, 10(10), 537–564.

Bhat, T. P. (2015). International trade in health care services: prospects and challenges for India. India Quarterly, 71(3), 239–254.

Bisht, R., Pitchforth, E., & Murray, S. F. (2012). Understanding India, globalisation and health care systems: a mapping of research in the social sciences. Globalization and Health, 8(32), 1–15.

Bookman, M. Z., & Bookman, K. R. (2007). Medical Tourism in Developing Countries. Palgrave Macmillan.

Border, P. B. (n.d.). How big is the market? PBB Live Site. Patients Beyond Border. Retrieved November 10, 2020, from

Carman, I., & Iuliana, C. (2014). Medical tourism industry challenges in the context of globalization. Management Strategics Journal, Constantain Brancoveanu University, 24(2), 62–70.

Carrera, P. M., & Bridges, J. F. P. (2006). Globalization and healthcare: understanding health and medical tourism. Expert Review of Pharmacoeconomics and Outcomes Research, 6(4), 447–454.

Chanda, R. (2001). Trade in health services *. Bulletin of the World Health Organization, 80(1), 158–163.

Chen, L. H., & Wilson, M. E. (2013). The globalization of healthcare: implications of medical tourism for the infectious disease clinician. Clinical Infectious Diseases, 57, 1752–1759.

Connell, J. (2006). Medical tourism: sea, sun, sand and ... surgery. Tourism Management, 27(6), 1093–1100.

Cornia, G. A. (2001). Globalization and health: results and options. Bulletin of the World Health Organization, 79(9), 834–841.

Davies, S. E. (2010). What contribution can international relations make to the evolving global health agenda? International Affairs (Royal Institute of International Affairs 1944, 86(5), 1167–1190.

Dollar, D. (2001). Is globalization good for your health ? Bulletin of the World Health Organization, 79(1), 827–833.

Dreher, A. (2006). Does globalization affect growth? evidence from a new index of globalization. Applied Economics, 38(10), 1091–1110.

Feachem, R. G. A. (2001). Globalisation is good for your health, mostly. British Medical Journal, 323(7311), 504–506.

Forster, T., Kentikelenis, A. E., Stubbs, T. H., & King, L. P. (2020). Globalization and health equity: the impact of structural adjustment programs on developing countries. Social Science & Medicine, 267, 1–9.

Gupta, A. (2020). Globalization and health – a conceptual framework. International Journal of Commerce, 8(1), 13–20. commerce.v8i1.830

Health Care Services. (2007). Oregan Laws.

Holden, C. (2005). Privatization and trade in health services: a review of the evidence. International Journal of Health Services, 35(4), 675–689.

Huynen, M. M. T. E., Martens, P., & Hilderink, H. B. M. (2005). The health impacts of globalization: a conceptual framework. Globalization and Health, 1, 1–12.

Indian Brand Equity Foundation. (2019). Tourism & hospitality. September.

Johnson, T. J., & Garman, A. N. (2010). Impact of medical travel on imports and exports of medical services. Health Policy, 98(2–3), 171–177.

Johnston, R., Crooks, V. A., Cerón, A., Labonté, R., Synder, J., Núñez, E. O., & Flores, W. G. (2016). Providers’ perspectives on inbound medical tourism in Central America and the Caribbean: factors driving and inhibiting sector development and their health equity implications. Global Health Action, 9(1).

Johnston, R., Crooks, V. A., Snyder, J., & Kingsbury, P. (2010). What is known about the effects of medical tourism in destination and departure countries? a scoping review. International Journal for Equity in Health, 9(24), 1–13.

Kjellström, T., Håkansta, C., & Hogstedt, C. (2007). Globalisation and public health - overview and a Swedish perspective. Scandinavian Journal of Public Health, 70, 1–68.

Koehn, P. H. (2006). Globalization, migration health, and educational preparation for transnational medical encounters. Globalization and Health, 2(2), 1–16.

Koivusalo, M. (2006). The impact of economic globalisation on health. Theoretical Medicine and Bioethics, 27, 13–34.

Krugman, P. R., Obstfeld, M., & Melitz, M. J. (2018). International Trade Theory & Policy (Eleventh E). Pearson Education.

Kruk, M. E. (2012). Globalisation and global health governance: Implications for public health. Global Public Health, 7(S1), 54–62.

Krumeich, A., & Meershoek, A. (2014). Health in global context; beyond the social determinants of health? Global Health Action, 7(1).

Labont, R., Mohindra, K., & Schrecker, T. (2011). The growing impact of globalization for health and public health practice. Annual Review of Public Health, 32, 263–282.

Labonté, R., & Schrecker, T. (2007). Globalization and social determinants of health: promoting health equity in global governance ( part 3 of 3 ). Globalization and Health, 3(7).

Labonte, R., & Torgerson, R. (2005). Interrogating globalization, health and development: towards a comprehensive framework for research, policy and political action. Critical Public Health, 15(2), 157–179.

Lee, K., & Dodgson, R. (2000). Globalization and cholera: implications for global governance. Global Governance, 6(2), 213–236.

Loh, C. A. (2015). Social science & medicine trends and structural shifts in health tourism : evidence from seasonal time-series data on health-related travel spending by Canada during 1970 e 2010. Social Science & Medicine, 132, 173–180.

Missoni, E. (2013). Understanding the impact of global trade liberalization on health systems pursuing universal health coverage. Value in Health, 16(1 SUPPL.), S14–S18.

Mogaka, J. J. O., Mashamba-Thomson, T. P., Tsoka-Gwegweni, J. M., & Mupara, L. M. (2017). Effects of medical tourism on health systems in Africa. African Journal of Hospitality, Tourism and Leisure, 6(1), 1–25.

Nwanko, I. U. (2015). Effects of globalization on national healthcare delivery systems : the nigerian experience. Global Journal of HUMAN-SOCIAL SCIENCE: H Interdisciplinary, 15(5).

Omer Tontus, H., & Nebioglu, S. (2018). Drivers of healthcare globalisation and their effects on medical tourism. E-Review of Tourism Research, 15(2–3), 255–272.

Outreville, J. F. (2007). Foreign direct investment in the health care sector and most-favoured locations in developing countries. The European Journal of Health Economics, 8(4), 305–312.

Plianbangchang, S. (2018). A view on medical care globalization and medical tourism. Journal of Health Research, 32(1), 69–73.

Pocock, N. S., & Phua, K. H. (2011). Medical tourism and policy implications for health systems: a conceptual framework from a comparative study of Thailand, Singapore and Malaysia. Globalization and Health, 7(table 2), 1–12.

Poku, N. K., & Whiteside, A. (2002). Global health and the politics of governance: an introduction. Third World Quarterly, 23(2), 191–195.

Primary Health Care. (2019). World Health Organization.

Rai, A., Chakraborty, P., & Sarkar, A. (2014). Globalization and medical tourism: a spatial study. The Indian Journal of Spatial Science, 5(1), 14–23.

Rennen, W., & Martens, P. (2015). The globalisation timeline. Integrated Assessment, 4(3), 137–144.

Schrecker, T. (2020). Globalization and health: political grand challenges. Review of International Political Economy, 27(1), 26–47.

Singh, G., & Gautam, H. (2012). Medical tourism – unwrapping the gift of globalisation. International Journal of Education Economics and Development, 3(1), 19–32.

Smith, R. D., Chanda, R., & Tangcharoensathien, V. (2009). Trade in health-related services. The Lancet, 373(9663), 593–601.

Turner, L. (2007). ‘First World Health Care at Third World Prices’: Globalization, Bioethics and Medical Tourism. BioSocieties, 2, 303–325.

Woodward, D., Drager, N., Beaglehole, R., & Lipson, D. (2001). Globalization and health: a framework for analysis and action. Bulletin of the World Health Organization, 79(9), 875–881.

Zafar Ansari, I., & Khan, S. (2014). Impact of globalization on medical tourism in developing countries like India. International Journal of Engineering Technology, Management and Applied Sciences, 2(7), 62–68.

Zhou, Y. R., & Coleman, W. D. (2016). Accelerated contagion and response: understanding the relationships among globalization, time, and disease. Globalizations, 13(3), 285–299.




How to Cite

Faisal, M., & Kumar Dhusia, D. (2022). Globalisation, Health Care System & Services, and Health Tourism: A Systematic Review. Atna Journal of Tourism Studies, 17(2), 141 - 163.