title: Health services-seeking behaviors of people traveling from developed areas--a case of Hong Kong residents visiting mainland China.
abstract: BACKGROUND
  The study investigated risk perceptions and inclination to defer seeking of medical services among Hong Kong residents if they become sick in mainland China, and prevalence and factors associated with purchase of travel medical insurance.
  
  
  METHODS
  A random, population-based telephone survey was conducted on 406 Hong Kong Chinese aged 18 to 60.
  
  
  RESULTS
  Of all respondents, 70.9, 62.9, and 57.2%, respectively, would defer seeking medical consultation until back to Hong Kong for mild conditions of influenza, injury, and acute disease; 55.6, 36.7, and 37.3%, respectively, would do so even for the three severe medical conditions. Concern for inferior medical standards in mainland China is the main reason for inclination to defer seeking medical services when traveling in mainland China. Multivariately, fear for nosocomial infection, lack of family/social support, and lack of knowledge about medical services in mainland China were significant factors associated with the inclination. Travel medical insurance was purchased by 20.0% of the respondents. Other difficulties for using medical services in mainland China and demands for relevant services were reported.
  
  
  CONCLUSIONS
  A dilemma exists between deferring seeking medical services and exposure to risk due to suboptimal medical services when people are traveling from developed areas to developing areas.
authors.affiliation: Centre for Epidemiology and Biostatistics, Faculty of Medicine, School of Public Health, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories, Hong Kong. jlau@cuhk.edu.hk
authors.forename: Joseph T F
authors.initials: JT
authors.lastname: Lau
authors.forename: Xilin
authors.initials: X
authors.lastname: Yang
authors.forename: Hi Yi
authors.initials: HY
authors.lastname: Tsui
mesh_terms: D000328:Adult; D001294:Attitude to Health; D002681:China / Q000453:epidemiology; D003141:Communicable Diseases / Q000453:epidemiology*; D005260:Female; D015438:Health Behavior; D019538:Health Care Surveys; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data*; D006723:Hong Kong / Q000453:epidemiology; D006801:Humans; D007348:Insurance, Health / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D015995:Prevalence; D011795:Surveys and Questionnaires; D014195:Travel