期刊论文详细信息
Globalization and Health
Beyond
Leigh Turner1 
[1]Center for Bioethics, School of Public Health, College of Pharmacy, University of Minnesota, Minneapolis, MN, USA
关键词: Websites;    Globalization;    Transnational healthcare;    Canada;    Medical tourism;   
Others  :  819502
DOI  :  10.1186/1744-8603-8-16
 received in 2011-08-17, accepted in 2012-05-29,  发布年份 2012
PDF
【 摘 要 】

Background

Despite having access to medically necessary care available through publicly funded provincial health care systems, some Canadians travel for treatment provided at international medical facilities as well as for-profit clinics found in several Canadian provinces. Canadians travel abroad for orthopaedic surgery, bariatric surgery, ophthalmologic surgery, stem cell injections, “Liberation therapy” for multiple sclerosis, and additional interventions. Both responding to public interest in medical travel and playing an important part in promoting the notion of a global marketplace for health services, many Canadian companies market medical travel.

Methods

Research began with the goal of locating all medical tourism companies based in Canada. Various strategies were used to find such businesses. During the search process it became apparent that many Canadian business promoting medical travel are not medical tourism companies. To the contrary, numerous types of businesses promote medical travel. Once businesses promoting medical travel were identified, content analysis was used to extract information from company websites. Company websites were analyzed to establish: 1) where in Canada these businesses are located; 2) the destination countries and health care facilities that they market; 3) the medical procedures they promote; 4) core marketing messages; and 5) whether businesses market air travel, hotel accommodations, and holiday tours in addition to medical procedures.

Results

Searches conducted from 2006 to 2011 resulted in identification of thirty-five Canadian businesses currently marketing various kinds of medical travel. The research project began with what seemed to be the straightforward goal of establishing how many medical tourism companies are based in Canada. Refinement of categories resulted in the identification of eighteen businesses fitting the category of what most researchers would identify as medical tourism companies. Seven other businesses market regional, cross-border health services available in the United States and intranational travel to clinics in Canada. In contrast to medical tourism companies, they do not market holiday tours in addition to medical care. Two companies occupy a narrow market niche and promote testing for CCSVI and “Liberation therapy” for multiple sclerosis. Three additional companies offer bariatric surgery and cosmetic surgery at facilities in Mexico. Four businesses offer health insurance products intended to cover the cost of obtaining privately financed health care in the U.S. These businesses also help their clients arrange treatment beyond Canada’s borders. Finally, one medical travel company based in Canada markets health services primarily to U.S. citizens.

Conclusions

This article uses content analysis of websites of Canadian companies marketing medical travel to provide insight into Canada’s medical travel industry. The article reveals a complex marketplace with different types of companies taking distinct approaches to marketing medical travel.

【 授权许可】

   
2012 Turner; licensee BioMed Central Ltd.

【 预 览 】
附件列表
Files Size Format View
20140712005337212.pdf 227KB PDF download
【 参考文献 】
  • [1]Turner L: Medical tourism: Family medicine and international health-related travel. Canadian Family Physician 2007, 53:1639-1641.
  • [2]Turner L: Canadian Medicare and the Global Health Care Bazaar. Policy Options 2007, 73-77.
  • [3]Turner L: “First World Health Care at Third World Prices”: Globalization, Bioethics and Medical Tourism. BioSocieties 2007, 2:303-325.
  • [4]Turner L: Quality in health care and globalization of health services: accreditation and regulatory oversight of medical tourism companies. Int J Qual Health Care 2011, 23:1-7.
  • [5]Eggertson L: Wait-list weary Canadians seek treatment abroad. CMAJ 2006, 174:1247.
  • [6]Korcok M: Excess demand meets excess supply as referral companies link Canadian patients, US hospitals. CMAJ 1997, 157:767-770.
  • [7]Katz S, Verrilli D, Barer M: Canadians’ Use of U.S. Medical Services. Health Aff 1998, 17:225-235.
  • [8]Katz S, Cardiff K, Pascali M, Barer M, Evans R: Phantoms In the Snow: Canadians’ Use of Health Care Services in the United States. Health Aff 2002, 21:19-31.
  • [9]Martin M: MS clinic’s practices stir alarm. Winnipeg Free Press 2011. Available from: http://www.winnipegfreepress.com/local/ms-clinics-practices-stir-alarm-113126744.html webcite
  • [10]Romaniuk R: Manitobans can head to Mayo Clinic. Winnipeg Sun 2011. Available from: http://www.winnipegsun.com/2011/07/13/mayo-clinic webcite
  • [11]Brodbeck T: Medicare can’t fight market. Winnipeg Sun 2011. Available from: http://www.winnipegsun.com/2011/07/13/medicare-cant-fight-market webcite
  • [12]Industry Canada. Corporations CanadaAvailable at: https://www.ic.gc.ca/app/scr/cc/CorporationsCanada/fdrlCrpSrch.html;jsessionid=0000v9O3VPcCrmqiXhaZKPaOE2o:15dmaulj8?locale=en_CA webcite
  • [13]Floyd M, Izenberg D, Kelly B, et al.: Medical services directory. Maclean’s 2006. Available from: http://www.macleans.ca/science/health/article.jsp?content=20060501_126220_126220 webcite
  • [14]Find Medical Travel Services Available at: http://www.findinghealthcare.ca/medical_tourism.html webcite
  • [15]Medical Tourism Facilitators Tourism Review.com 2009, 50-52. Available at: http://www.tourism-review.com/fm956/m6.pdf webcite
  • [16]India medical tourism destination 2009: healthcare without borders. The first ever medical tourism exhibition and conference in Canada [Internet]. Toronto: IMTD; 2009. Available from: http://www.imtd2009.com/ webcite
  • [17]Pope C, Ziebland S, Mays N: Qualitative research in health care: Analysing qualitative data. BMJ 2000, 320:114-116.
  • [18]Cormany D, Baloglu S: Medical travel facilitator websites: An exploratory study of web page contents and services offered to the prospective medical tourist. Tourism Management 2011, 32:709-716.
  • [19]Lunt N, Hardey M, Mannion R: Nip, tuck and click: Medical tourism and the emergence of web-based health information. The Open Medical Informatics Journal 2010, 4:1-11.
  • [20]Puzic S: Windsor police lay fraud charges against EcuMedical couple. Windsor Star 2010, 2010:2010.
  • [21]Mason A, Wright KB: Framing medical tourism: An examination of appeal, risk, convalescence, accreditation, and interactivity in medical tourism web sites. Journal of Health Communication 2011, 16(2):163-177.
  • [22]Penney K, Snyder J, Crooks V, Johnston R: Risk communication and informed consent in the medical tourism industry: A thematic content analysis of Canadian broker websites. BMC Medical Ethics 2011, 12:17. BioMed Central Full Text
  • [23]York D: Medical Tourism: the Trend Toward Outsourcing Medical Procedures to Foreign Countries. Journal of Continuing Education in the Health Professions 2008, 28(2):99-102.
  • [24]Connell J: Medical tourism: Sea, sun, sand and…surgery. Tourism Management 2006, 27:1093-1100.
  • [25]Sobo EJ: Medical travel: what it means, why it matters. Medical Anthropology 2009, 28(4):326-335.
  • [26]Sobo E, Herlihy E, Bicker M: Selling medical travel to US patient-consumers: the cultural appeal of website marketing messages. Anthropol Med 2011, 18:119-136.
  • [27]Lunt N, Carrera P: Systematic review of websites for prospective medical tourists. Tourism Review 2011, 66:57-67.
  • [28]Steinbrook R: Private Health Care in Canada. NEJM 2006, 354:1661-1664.
  • [29]Gordon M, Berger P: The Alluring Myth of Private Medicine. CMAJ 1996, 155:404-406.
  • [30]Charles C, Lomas J, Giacomini M: Medical necessity in Canadian health policy: four meanings and…a funeral? Milbank Quarterly 1997, 75:365-394.
  • [31]Flood C, Archibald T: The illegality of private health care in Canada. CMAJ 2001, 164:825-830.
  • [32]Gray C: Visions of our health care future: Is a parallel private system the answer? CMAJ 1996, 154:1084-1087.
  • [33]Christou N, Efthimiou E: Bariatric surgery waiting times in Canada. Can J. Surg 2009, 52:229-234.
  • [34]Legare J, Li D, Buth K: How established wait time benchmarks significantly underestimate total wait times for cardiac surgery. Can J. Cardiol 2010, 26:E17-21.
  • [35]Snider M, MacDonald S, Pototschnik R: Waiting times and patient perspectives for total hip and knee arthroplasty in rural and urban Ontario. Can J. Surg. 2005, 48:355-360.
  • [36]Lindberg M, Risk J: External Review of the Ontario Health Insurance Plan’s Out-of-Country Program. 2007, 1-18. Available from: http://www.health.gov.on.ca/english/public/pub/ministry_reports/out_of_country_ohip/out_of_country_ohip.pdf webcite
  • [37]Korcok M: Ontario’s move to limit out-of-province health care spending pays off in big way. CMAJ 1993, 148:425-426.
  • [38]Morrow A: Man dies after controversial MS treatment, doctor says. The Globe and Mail 2010. Available from: http://www.theglobeandmail.com/news/national/man-dies-after-controversial-ms-treatment-doctor-says/article1314585/ webcite
  • [39]Alphonso C: Death of MS patient fuels debate over new treatment. The Globe and Mail 2010. Available from: http://www.theglobeandmail.com/news/national/death-of-ms-patient-fuels-debate-over-new-treatment/article1807127/ webcite
  • [40]McClure M: Woman with MS dies after treatment. Winnipeg Free Press 2011. Available from: http://www.winnipegfreepress.com/canada/Woman-with-MS-dies-after-treatment--125269119.html webcite
  • [41]Puzic S: Company that linked Canadian patients to U.S. health care folds. The Windsor Star 2010.
  • [42]Puzic S: Windsor police lay fraud charges against EcuMedical couple. The Windsor Star 2010.
  • [43]Cohen T: New York medical brokerage gains ground in Canada. Times-Colonist 2011.
  • [44]Kumar S, Breuing R, Chahal R: Globalization of Health Care Delivery in the United States through Medical Tourism. Journal of Health Communication 2012, 17:1-22.
  • [45]Alleman BW, Luger T, Reisinger HS, Martin R, Horowitz MD, Cram P: Medical tourism services available to residents of the United States. J Gen Intern Med 2010, 26:492-497.
  • [46]Shah KY: Current status and emerging trends of international medical outsourcing in the United States—a qualitative study. University of South Carolina doctoral dissertation; 2007. Archived at: http://www.webcitation.org/5x9wiGYUu webcite
  • [47]Crooks V, Snyder J: Medical tourism: What Canadian family physicians need to know. Canadian Family Physician 2011, 57(5):527-529.
  • [48]Snyder J, Crooks V, Adams K, Kingsbury P, Johnston R: The patient’s physician one-step removed’: the evolving roles of medical tourism facilitators. Journal of Medical ethics 2011, 37(9):530-534.
  • [49]Johnston R, Crooks V, Adams K, Snyder J, Kingsbury P: An Industry Perspective on Canadian Patients’ Involvement in Medical Tourism: Implications for Public Health. BMC Public Health 2011, 11:416. BioMed Central Full Text
  • [50]Mehra N: Eroding Public Medicare: Lessons and Consequences of For-Profit Health Care Across Canada. Eroding Public Medicare: Lessons and Consequences of For-Profit Health Care Across Canada 2008, 6:1-169. Available from: http://www.web.net/ohc/Eroding%20Public%20Medicare.pdf webcite
  • [51]Revah G, Bell C: Shopping for High-Technology Treatment in Another Province. Healthcare Policy 2007, 2:49-55.
  • [52]Silversides A: Canada Health Act breaches are being ignored, pro-medicare groups charge. CMAJ 2008, 179:1112-1113.
  • [53]Blackwell T: Is new MS research the real thing, or a media-driven frenzy. National Post 2010. Available from: http://www.nationalpost.com/news/story.html?id=2475272 webcite
  • [54]Weeks C: An uncertain future lies ahead for Zamboni’s MS theory and its potential patients. The Globe and Mail 2011. Available from: http://www.theglobeandmail.com/life/health-and-fitness/an-uncertain-future-lies-ahead-for-zambonis-ms-theory-and-its-potential-patients/article584981/ webcite
  • [55]Dhalla I: Private Health Insurance: An International Overview and Considerations for Canada. Healthcare Quarterly 2007, 10:89-96.
  文献评价指标  
  下载次数:4次 浏览次数:42次