Table 2.

Push and pull factors: Motives for using healthcare services in the region of origin

Motives	Availability	Perception of quality	Need for a second opinion	Familiarity
Push factors	Long waiting lists for specialised care	Long waiting lists for specialised care	Feeling uninformed	Communication barriers
	Restricted access to specialised care	Restrained access to specialised care	Lack of trust between patient and health professionals	Different expectations among patients and professionals
			Little familiarity with healthcare system in the country of origin
			Lack of further options for treatment
Pull factors	Perceived easy access: • No waiting lists • No need for referral	Fast and efficient treatment	Familiarity with the healthcare system in the country of origin	Feeling comfortable and secure in the healthcare system
		Specialised doctors	Perception of quality as better	No barriers in communication or language
			Searching for further options