Digital patient journey in medical tourism: experiences from Ukraine in a global context

Abstract

Aim: The aim of this study is to analyse the digital patient journey in medical tourism, with a particular focus on Ukraine’s experience under conditions of military challenges and global crises. The study examines how digital tools support inclusivity, accessibility, continuity of care, and patient trust, with special attention to rehabilitation services and vulnerable patient groups affected by war.

Methods: The study employs a mixed-methods approach combining a review of scientific literature with empirical research and modelling of the digital patient journey. Primary data were collected through an online survey of 150 healthcare consumers and semi-structured interviews with 15 experts representing medical institutions involved in medical tourism. Quantitative and qualitative analyses were used to examine patient experience, inclusivity barriers, and the role of digital services.

Results: The results indicate that key stages of the digital patient journey include online information search and clinic selection, remote consultations, digital support for travel and treatment organization, and post-treatment follow-up and rehabilitation. Ukrainian clinics actively implement CRM systems, telemedicine solutions, and digital communication tools, enabling continuous patient engagement even during crisis conditions. At the same time, significant barriers were identified, including limited inclusiveness of digital services, data security concerns, uneven digital literacy, and infrastructural constraints. Based on the findings, a conceptual model of the digital patient journey integrating service quality, inclusivity, and AI-supported personalization was developed.

Conclusions: The findings demonstrate that the digital patient journey is becoming critically important for the development of medical tourism under conditions of global uncertainty. The integration of digital tools with inclusive and patient-centred approaches enhances the resilience of medical services, strengthens patient trust, and provides competitive advantages for medical institutions. The proposed model may be useful for countries experiencing military conflicts or systemic crises and contributes to the broader development of digital and inclusive healthcare.

Keywords

digitalization of medicine / digital innovations / inclusion / rehabilitation

References

[1] World Health Organization. Global strategy on digital health 2020-2025. Digital Health and Innovation (DHI); 2021.

[2] Transforming our world: the 2030 Agenda for Sustainable Development [Internet]. United Nations; [cited2026 Jan 10]. Available from:https://sdgs.un.org/2030agenda

[3] The need to scale up rehabilitation [Internet]. World Health Organization; [cited 2026 Jan 10]. Available from:https://iris.who.int/items/601127ff-3747-4ad9-9d78-122a6f6c048b

[4] Ben Khizzou N, Aarabe M, Bouizgar M, Alla L, Benjelloun A. The Digital Transformation of Medical Tourism: A Systematic and Bibliometric Review of the Literature. In: Hassan V, Singh A, Jaboob A, Sorayyaei Azar A, editors. Revolutionizing Healthcare Experience With Digital Medical Tourism. IGI Global Scientific Publishing; pp. 355-82.

[5] Inclusive digital healthcare: a framework for NHS action on digital inclusion [Internet].NHS; [cited 2026 Jan 10]. Available from:https://www.england.nhs.uk/long-read/inclusive-digital-healthcare-a-framework-for-nhs-action-on-digital-inclusion

[6] Heaslip V, Holley D. Ensuring digital inclusion. Clin Integr Care. 2023; 17:100141.

[7] Bovsh LA, Hopkalo LM, Rasulova AM. Digital Relationship Marketing Strategies of Medical Tourism Entities. In: Bouarar A, Mouloudj K, Martínez Asanza D, editors. Integrating Digital Health Strategies for Effective Administration. IGI Global Scientific Publishing; pp. 133-50.

[8] Bovsh L, Hopkalo L, Tonkonoh I, Mouloudj K, Bouarar AC, Mechta M. Sustainable Competitive Edge in Rehabilitation Hospitality: Insights From Ukraine. In: Rodrigues P, Borges A, Vieira E, Tavares V, editors. Compelling Storytelling Narratives for Sustainable Branding. IGI Global Scientific Publishing; 2024. pp. 343-65.

[9] Integrating for impact: Crafting seamless digital health experiences [Internet]. PwC; c2017-2026 [cited 2026 Jan 10]. Available from:https://www.pwc.com/us/en/industries/health-industries/library/digital-patient-experience.html

[10] Yin C, McIntosh J, Marques B. Integrating digital health technologies and place attachment: theoretical foundations and practical implications. Explor Digit Health Technol. 2025; 3:101160.

[11] A Digital Patient Journey [Internet].Techtomed; c2026 [cited 2026 Jan 10]. Available from:https://www.techtomed.com/post/a-digital-patient-journey

[12] Unleashing digital momentum to shape the future of healthcare: Enabling automation to enforcing transformation [Internet].Confederation of Indian Industry; [cited 2026 Jan 10]. Available from:https://www.ey.com/content/dam/ey-unified-site/ey-com/en-in/insights/health/documents/ey-unleashing-digital-momentum-to-shape-the-future-of-healthcare.pdf

[13] Coleman R, Clarkson J, Dong H, Cassim J. Design for inclusivity: a practical guide to accessible, innovative and user-centred design. In: Cooper R, editor. Design for social responsibility series. London: Routledge; 2016.

[14] Pullin G, Higginbotham J. Design Meets Disability. Augment Altern Commun. 2010; 26:226-9.

[15] Li Z, Luo Z, Zou N, Xie B, He D. Human-AI Collaboration for Identifying Health Information Wants. In: Wu D, Liang S, editors. Human-AI Interaction and Collaboration. Cambridge University Press; 2025. pp. 213-38.

[16] UNDP In Ukraine Advocates For Disability Inclusion At UN Event [Internet].United Nations Development Programme; [cited 2026 Jan 10]. Available from:https://www.undp.org/ukraine/press-releases/undp-ukraine-advocates-disability-inclusion-un-event

[17] Ukraine Presents Its Experience of Inclusive Recovery At International Summit In Berlin [Internet].United Nations Development Programme; [cited 2026 Jan 10]. Available from:https://www.undp.org/ukraine/press-releases/ukraine-presents-its-experience-inclusive-recovery-international-summit-berlin

[18] Shakespeare T. Disability Rights and Wrongs. London: Routledge; 2006.

[19] Parasuraman A, Zeithaml VA, Berry LL. SERVQUAL: A Multiple-Item Scale for Measuring Consumer Perceptions of Service Quality. J Retail. 1988; 64:12-40.

[20] Zimeras S. Quality Based on a Spatial SERVQUAL Model in Healthcare. In: Lazakidou A, Daskalaki A, editors. Quality Assurance in Healthcare Service Delivery, Nursing and Personalized Medicine: Technologies and Processes. IGI Global Scientific Publishing; 2012. pp. 209-19.

[21] Alharbi MRM, Alanezi BMM, Aljohani FFM, Almatuiri MHE, Aldhafeiri GAO, Al.Harbi BS, et al. The impact of digital transformation on healthcare service quality and sustainability enhancement: An analytical study in the Saudi context. Power Syst Technol. 2024; 48:4.

[22] Chen LH, Chen CH, Loverio JP, Wang MJ, Lee LH, Hou YP. Examining Soft and Hard Attributes of Health Care Service Quality and Their Impacts on Patient Satisfaction and Loyalty. Qual Manag Health Care. 2024; 33:176-91.

[23] Indhupriya N, Gnanaselvi G. Impact of digital transformation on healthcare sector. In: Sathiyabama MV, Indira Priyadharshini B, Kiruthika T, Ponsabariraj N, editors. Proceedings of Digital transformation - A Sustainable Approach; 2024 Jul 19; Pollachi: NGM College; 2024. pp.153-63.

[24] Giovanoli C. Cloud service quality model: A cloud service quality model based on customer and provider perceptions for cloud service mediation. In: Proceedings of the 9th International Conference on Cloud Computing and Services Science; 2019 May 2-4; Heraklion, Greece. SciTePress; 2019. pp. 241-8.

[25] Kumar V, Reinartz W. Customer relationship management. In: Concept, strategy, and tools. 3rd ed. Heidelberg: Springer Berlin; 2018.

[26] Parveen A, Kannan G. Healthcare transformed: a comprehensive survey of artificial intelligence trends in healthcare industries. In: Digital Healthcare in Asia and Gulf Region for Healthy Aging and More Inclusive Societies. Academic Press; 2024. pp. 395-424.

[27] Varadarajan R. Inclusive innovations in services: leveraging digital technologies for inclusive innovations in healthcare services. Eur J Mark. 2024; 58:107-29.

[28] Wong BKM, Bastrygina T. Healthcare travel resilience through digital healthcare adoption: lessons from Malaysia during the COVID-19 pandemic. In: Digital Healthcare in Asia and Gulf Region for Healthy Aging and More Inclusive Societies. Academic Press; 2024. pp. 241-63.

[29] Kaminska T, Oleksiuk O, Komorovsky R, Gladkikh F. The role of Ukrainian healthcare in the global medical services market: growth factors in the context of globalization. Bull VN Karazin Kharkiv Natl Univ. 2024; 32:440-50.

[30] Teremetskyi V, Astafiev D, Mosondz S, Pakhnin M, Bodnar-Petrovska O, Igonin R, et al. Medical tourism as a driver of Ukraine’s economic recovery: pre-war experience and strategic guidelines for the post-war period. Georgian Med News. 2025; 4:94-103.