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The 'patient's physician one-step removed': the evolving roles of medical tourism facilitators.
J Med Ethics. 2011 Sep; 37(9):530-4.JM

Abstract

BACKGROUND

Medical tourism involves patients travelling internationally to receive medical services. This practice raises a range of ethical issues, including potential harms to the patient's home and destination country and risks to the patient's own health. Medical tourists often engage the services of a facilitator who may book travel and accommodation and link the patient with a hospital abroad. Facilitators have the potential to exacerbate or mitigate the ethical concerns associated with medical tourism, but their roles are poorly understood.

METHODS

12 facilitators were interviewed from 10 Canadian medical tourism companies.

RESULTS

Three themes were identified: facilitators' roles towards the patient, health system and medical tourism industry. Facilitators' roles towards the patient were typically described in terms of advocacy and the provision of information, but limited by facilitators' legal liability. Facilitators felt they played a positive role in the lives of their patients and the Canadian health system and served as catalysts for reform, although they noted an adversarial relationship with some Canadian physicians. Many facilitators described personally visiting medical tourism sites and forming personal relationships with surgeons abroad, but noted the need for greater regulation of their industry.

CONCLUSION

Facilitators play a substantial and evolving role in the practice of medical tourism and may be entering a period of professionalisation. Because of the key role of facilitators in determining the effects of medical tourism on patients and public health, this paper recommends a planned conversation between medical tourism stakeholders to define and shape facilitators' roles.

Authors+Show Affiliations

Faculty of Health Sciences, Simon Fraser University, Burnaby, Canada. jcs12@sfu.caNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

21478420

Citation

Snyder, Jeremy, et al. "The 'patient's Physician One-step Removed': the Evolving Roles of Medical Tourism Facilitators." Journal of Medical Ethics, vol. 37, no. 9, 2011, pp. 530-4.
Snyder J, Crooks VA, Adams K, et al. The 'patient's physician one-step removed': the evolving roles of medical tourism facilitators. J Med Ethics. 2011;37(9):530-4.
Snyder, J., Crooks, V. A., Adams, K., Kingsbury, P., & Johnston, R. (2011). The 'patient's physician one-step removed': the evolving roles of medical tourism facilitators. Journal of Medical Ethics, 37(9), 530-4. https://doi.org/10.1136/jme.2011.042374
Snyder J, et al. The 'patient's Physician One-step Removed': the Evolving Roles of Medical Tourism Facilitators. J Med Ethics. 2011;37(9):530-4. PubMed PMID: 21478420.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The 'patient's physician one-step removed': the evolving roles of medical tourism facilitators. AU - Snyder,Jeremy, AU - Crooks,Valorie A, AU - Adams,Krystyna, AU - Kingsbury,Paul, AU - Johnston,Rory, Y1 - 2011/04/08/ PY - 2011/4/12/entrez PY - 2011/4/12/pubmed PY - 2012/3/1/medline SP - 530 EP - 4 JF - Journal of medical ethics JO - J Med Ethics VL - 37 IS - 9 N2 - BACKGROUND: Medical tourism involves patients travelling internationally to receive medical services. This practice raises a range of ethical issues, including potential harms to the patient's home and destination country and risks to the patient's own health. Medical tourists often engage the services of a facilitator who may book travel and accommodation and link the patient with a hospital abroad. Facilitators have the potential to exacerbate or mitigate the ethical concerns associated with medical tourism, but their roles are poorly understood. METHODS: 12 facilitators were interviewed from 10 Canadian medical tourism companies. RESULTS: Three themes were identified: facilitators' roles towards the patient, health system and medical tourism industry. Facilitators' roles towards the patient were typically described in terms of advocacy and the provision of information, but limited by facilitators' legal liability. Facilitators felt they played a positive role in the lives of their patients and the Canadian health system and served as catalysts for reform, although they noted an adversarial relationship with some Canadian physicians. Many facilitators described personally visiting medical tourism sites and forming personal relationships with surgeons abroad, but noted the need for greater regulation of their industry. CONCLUSION: Facilitators play a substantial and evolving role in the practice of medical tourism and may be entering a period of professionalisation. Because of the key role of facilitators in determining the effects of medical tourism on patients and public health, this paper recommends a planned conversation between medical tourism stakeholders to define and shape facilitators' roles. SN - 1473-4257 UR - https://www.unboundmedicine.com/medline/citation/21478420/The_'patient's_physician_one_step_removed':_the_evolving_roles_of_medical_tourism_facilitators_ L2 - https://jme.bmj.com/lookup/pmidlookup?view=long&pmid=21478420 DB - PRIME DP - Unbound Medicine ER -