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01.12.2018 | Research article | Ausgabe 1/2018 Open Access

BMC Health Services Research 1/2018

Dutch citizens of Turkish origin who utilize healthcare services in Turkey: a qualitative study on motives and contextual factors

BMC Health Services Research > Ausgabe 1/2018
Aydın Şekercan, Anke J. Woudstra, Ron J. G. Peters, Majda Lamkaddem, Seval Akgün, Marie-Louise Essink-Bot
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Electronic supplementary material

The online version of this article (https://​doi.​org/​10.​1186/​s12913-018-3026-9) contains supplementary material, which is available to authorized users.
Marie-Louise Essink-Bot, deceased



Dutch residents of Turkish origin frequently utilize healthcare in Turkey.


To investigate their motives for doing so, we conducted a qualitative study among these healthcare users using semi-structured interviews. We complemented this with informal conversations with Turkish healthcare providers and observations at the registration offices and waiting rooms of outpatient clinics in several Turkish hospitals.


Respondents believed their perceived needs for referral to specialist care and diagnostic assessments to quantify their health were not being met in the Netherlands.


These mismatches in expectations of what constitutes “good care” led to dissatisfaction with Dutch primary care. Consequently, respondents utilized healthcare in Turkey if the opportunity arose, and were encouraged in this by their social networks. Establishing cross-border communication between healthcare providers is necessary, because there is currently no continuity of care for cross-border patients.
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