Examining the role of family physicians in the decision-making processes of Canadian medical tourists

Canadians are increasingly engaging in ‘medical tourism’. Medical tours mark a shift from the gate-keeping model of care provision that underpins diagnostic and surgical care in Canada, wherein family physicians refer patients to specialists, towards care that has a more self-directed role for the patient. This self-direction raises concerns regarding patient safety, chiefly around informed consent and continuity of care. In light of these risks, it is important that we understand how family physicians assist Canadian medical tourists. The analyses indicate that Canadian family physicians are currently only cursorily involved, if at all, in supporting medical tourists in their medical practices. This lack of engagement persists despite physicians’ willingness to be consulted and involved. Improved support for medical tourists by their family doctors is hindered by barriers amongst both stakeholder groups that might be addressed through guidance from medical associations and patient advocacy organizations