Cross-border healthcare: analyzing the phenomenon of Hong Kong residents seeking care in the Greater Bay Area in Mainland China

Purpose This study critically examines the growing trend of Hong Kong residents seeking healthcare services in the Greater Bay Area (GBA) of Mainland China. It aims to elucidate the motivations behind this shift, explore its implications, and address the systemic challenges within Hong Kong’s healthcare sector. Design/methodology/approach Utilizing a push-pull framework, the research analyzes factors driving Hong Kong residents to pursue medical services in GBA cities such as Shenzhen and Guangzhou. It investigates three key areas: dental care, long-term care, and expensive pharmaceuticals, supported by qualitative data from patient interviews and policy documents. Findings The findings reveal that Hong Kong’s high costs, long waiting times, and inadequate public health, dental and long-term care services push patients to seek affordable and accessible alternatives in the GBA. Additionally, the study identifies significant gaps in Hong Kong’s healthcare financing and service provision, exacerbated by an aging population and rising demand for innovative treatments. Originality/value This research highlights the urgent need for policy reforms in Hong Kong’s healthcare system to enhance service delivery and accessibility. It underscores the potential for cross-border healthcare integration within the GBA, suggesting that coordinated efforts can improve health outcomes and optimize resource allocation, thereby transforming the region into a leading healthcare hub.