Más de turismo médico / More on medical tourism

Enero 24, 2016. No. 2216

¿Que sabemos sobre el turismo médico? Revisión de la literatura con discusión de sus implicaciones a los servicios de salud del Reino Unido como un ejemplo de un sistema público de salud What do we know about medical tourism? A review of the literature with discussion of its implications for the UK National Health Service as an example of a public health care system. Hanefeld J, Smith R, Horsfall D, Lunt N. J Travel Med. 2014 Nov-Dec;21(6):410-7. doi: 10.1111/jtm.12147. Epub 2014 Aug 25. Abstract BACKGROUND: Medical tourism is a growing phenomenon. This review of the literature maps current knowledge and discusses findings with reference to the UK National Health Service (NHS). METHODS: Databases were systematically searched between September 2011 and March 2012 and 100 papers were selected for review. RESULTS: The literature shows specific types of tourism depending on treatment, eg, dentistry, cosmetic, or fertility. Patient motivation is complex and while further research is needed, factors beyond cost, including availability and distance, are clearly important. The provision of medical tourism varies. Volume of patient travel, economic cost and benefit were established for 13 countries. It highlights contributions not only to recipient countries' economies but also to a possible growth in health systems' inequities. Evidence suggests that UK patients travel abroad to receive treatment, complications arise and are treated by the NHS, indicating costs from medical travel for originating health systems. CONCLUSION: It demonstrates the importance of quality standards and holds lessons as the UK and other EU countries implement the EU Directive on cross-border care. Lifting the private-patient-cap for NHS hospitals increases potential for growth in inbound medical tourism; yet no research exists on this. Research is required on volume, cost, patient motivation, industry, and on long-term health outcomes in medical tourists. PDF Impacto del turismo médico en la cirugía cosmética en los Estados Unidos Impact of medical tourism on cosmetic surgery in the United States. Franzblau LE, Chung KC. Plast Reconstr Surg Glob Open. 2013 Nov 7;1(7):e63. doi: 10.1097/GOX.0000000000000003. eCollection 2013. Abstract Developing countries have been attracting more international patients by building state-of-the-art facilities and offering sought-after healthcare services at a fraction of the cost of the US healthcare system. These price differentials matter most for elective procedures, including cosmetic surgeries, which are paid for out of pocket. It is unclear how this rise in medical tourism will affect the practice of plastic surgery, which encompasses a uniquely large number of elective procedures. By examining trends in the globalization of the cosmetic surgery market, we can better understand the current situation and what plastic surgeons in the United States can expect. In this article, we explore both domestic and foreign factors that affect surgical tourism and the current state of this industry. We also discuss how it may affect the practice of cosmetic surgery within the United States. PDF

Anestesiología y Medicina del Dolor 52 664 6848905 vwhizar@anestesia-dolor.org anestesia-dolor.org Copyright © 2015

Más datos sobre turismo médico / More data on medical tourism

Enero 25, 2016. No. 2217

Revisión sistemática de publicaciones sobre turismo médico A systematic review of publications studies on medical tourism. Masoud F, Alireza J, Mahmoud K, Zahra A. J Educ Health Promot. 2013 Sep 30;2:51. doi: 10.4103/2277-9531.119037. eCollection 2013. CONCLUSION:The findings indicate the definition of medical tourism in various articles, and medical tourists are motivated. However, most studies indicate the benefits of medical tourism in developing countries and more developed countries reflect the consequences of medical tourism. PDF Turismo medico en Tailandia: un estudio transversal Medical tourism in Thailand: a cross-sectional study. Noree T, Hanefeld J, Smith R. Bull World Health Organ. 2016 Jan 1;94(1):30-6. doi: 10.2471/BLT.14.152165. Epub 2015 Dec 9. Conclusión Se estima que el total de los turistas sanitarios que visitan Tailandia es cerca del 10% de las anteriores estimaciones del gobierno nacional de 1,2 millones. Esta clase de turistas parece traer beneficios económicos a Tailandia y no tienen efectos negativos en el sistema sanitario. PDF   Los costos financieros y las percepciones de los pacientes de turismo médico en cirugía bariátrica. Financial costs and patients' perceptions of medical tourism in bariatric surgery. Kim DH, Sheppard CE, de Gara CJ, Karmali S, Birch DW. Can J Surg. 2015 Dec 1;58(6):004215-4215. doi: 10.1503/cjs.004215. [Epub ahead of print] Responses from medical tourists suggest that they believe their surgeries were successful despite some having postoperative complications and lacking support from medical or surgical teams. We believe that the financial cost of treating complications related to medical tourism in Alberta is substantial and impacts existing limited resources. PDF  Aumento del riesgo de malignidad postrasplante y mortalidad en los turistas de trasplantes: un estudio de cohorte de base poblacional a nivel nacional en Taiwán. Increased risk of post-transplant malignancy and mortality in transplant tourists: a nationwide population-based cohort study in Taiwan. Chung MC, Wu MJ, Chang CH, Muo CH, Yu TM, Ho HC, Shu KH, Chung CJ. Medicine (Baltimore). 2014 Dec;93(29):e344. doi: 10.1097/MD.0000000000000344. We suggest that a sufficient waiting period for patients with pre-transplant malignancies should be better emphasized to eliminate recurrence, and transplant tourists should be discouraged because of the possibility of higher post-transplant de novo malignancy occurrence and mortality. PDF Cuartos de hospital con vista: países y clínicas extranjeras están compitiendo para convertirse en destinos para los turistas médicos. ¿Vale la pena? Hospital rooms with a view: countries and foreign clinics are vying to become the go-to destinations for medicaltourists. Is it worth it? Nelson B. Cancer Cytopathol. 2014 Oct;122(10):711-2. doi: 10.1002/cncy.21486. PDF Hacia el sur: por qué los inmigrantes mexicanos en California buscan los servicios de salud en México. Heading south: why Mexican immigrants in California seek health services in Mexico. Wallace SP, Mendez-Luck C, Castañeda X. Med Care. 2009 Jun;47(6):662-9. doi: 10.1097/MLR.0b013e318190cc95. CONCLUSIONS: Mexican immigrants are the most likely to seek medical, dental, and prescription services in Mexico. A large number, but small percentages, of US-born nonLatino whites purchase prescription drugs there. Although proximity facilitates use, access and acceptability barriers in the US medical care system encourage immigrants to seek care in Mexico who would be helped by expanded binational health insurance. PDF  El turismo médico en Malasia: ¿cómo podemos identificar mejor y administrar sus ventajas y desventajas? Medical tourism in Malaysia: how can we better identify and manage its advantages and disadvantages? Ormond M, Mun WK, Khoon CC. Glob Health Action. 2014 Sep 10;7:25201. doi: 10.3402/gha.v7.25201. eCollection 2014. Contemporary debate over the current and potential benefits and adverse effects of medical tourism for destination societies is hamstrung by the scant empirical data currently publicly available. Steps are proposed for overcoming these challenges in order to allow for improved identification, planning, and development of resources appropriate to the needs, demands, and interests of not only medical tourists and big business but also local populations. PDF   Brote de Fiebre Q entre los viajeros a Alemania que recibieron terapia de células vivas - Estados Unidos y Canadá, 2014. Q Fever Outbreak Among Travelers to Germany Who Received Live Cell Therapy--United States and Canada, 2014. Robyn MP, Newman AP, Amato M, Walawander M, Kothe C, Nerone JD, Pomerantz C, Behravesh CB, Biggs HM, Dahlgren FS, Pieracci EG, Whitfield Y, Sider D, Ozaldin O, Berger L, Buck PA, Downing M, Blog D. MMWR Morb Mortal Wkly Rep. 2015 Oct 2;64(38):1071-3. doi: 10.15585/mmwr.mm6438a3. PDF  La utilización transfronteriza de atención de la salud: evidencia de un estudio basado en la población en el sur de Texas. See comment in PubMed Commons below Cross-border utilization of health care: evidence from a population-based study in south Texas. Su D, Richardson C, Wen M, Pagán JA. Health Serv Res. 2011 Jun;46(3):859-76. doi: 10.1111/j.1475-6773.2010.01220.x. Epub 2010 Dec 15. CONCLUSIONS: The high prevalence of use of health care services in Mexico by Texas border residents is suggestive of unmet needs in health care on the U.S. side of the border. Addressing these unmet needs calls for a binational approach to improve the affordability, accessibility, and quality of health care in the U.S.-Mexico border region. PDF Un perfil de los viajeros - un análisis de una gran clínica de viajes suizo A profile of travelers--an analysis from a large swiss travel clinic. Bühler S, Rüegg R, Steffen R, Hatz C, Jaeger VK. J Travel Med. 2014 Sep-Oct;21(5):324-31. doi: 10.1111/jtm.12139. Epub 2014 Jun 17. CONCLUSIONS: New insights into the characteristics of a selected and large population of Swiss international travelers results in improved understanding of the special needs of an increasingly diverse population and, thus, in targeted preventive advice and interventions. PDF

Anestesiología y Medicina del Dolor 52 664 6848905 vwhizar@anestesia-dolor.org anestesia-dolor.org Copyright © 2015