An evidence-based policy for improving choice in global health access through medical travel

Ruggeri, Kai; Ivanovic, Nevena; Razum, Josip; Kácha, Ondřej; Menezes, Igor Gomes; Zafarí, Zafar; García-Garzón, Eduardo

doi:10.1016/j.healthpol.2018.09.017

Cited by 8 publications

(4 citation statements)

References 17 publications

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“…В литературе описаны случаи внелегочного туберкулеза опорно-двигательного аппарата после введения инъекционных форм наркотиков [9]. Также зарегистрированы случаи ятрогенного заражения, число которых растет вследствие распространения медицинского туризма [10,11]. I.K.…”

Section: Discussionunclassified

Tenosynovitis of the Flexor Digitorum and Flexor Carpi Caused by <i>Mycobacterium Tuberculosis</i>: Case Report and Review

Abdiba¹,

Rodomanova²,

Zolotukhina³

2023

Traumatology and Orthopedics of Russia

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Background.. Tenosynovitis of the hand and forearm of mycobacterial etiology is an extremely rare form of extrapulmonary tuberculosis, this nosology occurs in 5% of cases of tuberculosis of the musculoskeletal system and can lead to permanent disability of patients. Case report. We present a rare clinical case of widespread tenosynovitis of tendons of all flexors of the hand and fingers of the right upper limb caused by Mycobacterium tuberculosis (MBT). The patient came to the consultative department with complaints about the presence of a formation on the palm surface of the right hand, from which a discharge in the form of "rice grains" periodically spontaneously arises. According to the results of the MRI examination, a picture of peritendinal, synovial, cystic formation along the volar surface of the hand, wrist joint, with the presence of multiple chondromic bodies, tendinitis and tenosynovitis of the flexors of the IV, V fingers of the hand was revealed. He has surgical treatment: removal of neoplasms, pathological tissues and total synovectomy. The intraoperative material was sent for PCR examination, the DNA of the mycobacterial tuberculosis complex was revealed. Conclusion. The presented clinical case demonstrates the importance of performing an MRI examination for tenosynovitis of unclear etiology before surgery and the need for histological and bacteriological examination of intraoperative material. The transportation of the obtained tissues for the above studies should be carried out without the use of formalin in order to exclude false negative laboratory results. In the treatment of patients with immunocompromising diseases, there should be caution against non-specific infections, including Mycobacterium tuberculosis. The presence of limb neuropathy in the patient, instrumental signs of the second or third stage of tuberculous tenosynovitis according to the Kanavel A.B. classification are indications for surgical treatment.

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Section: Discussionunclassified

Tenosynovitis of the Flexor Digitorum and Flexor Carpi Caused by <i>Mycobacterium Tuberculosis</i>: Case Report and Review

Abdiba¹,

Rodomanova²,

Zolotukhina³

2023

Traumatology and Orthopedics of Russia

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“…Such activities can also be observed in the case of international organizations and institutions. A more systematic attempt at regulating medical travel was carried out in the EU, where the Directive 2011/24/EU on the application of patients' rights in cross-border healthcare was created by the European Parliament and Council and implemented by member states (Rugerri et al, 2018) as well as a number of EU initiatives that are indirectly or directly related to health tourism (Blazevic, 2016).…”

Section: Health Tourism Policymentioning

confidence: 99%

Destination Management Organizations and Health Tourism Visual Identification in Central and Eastern Europe

Borzyszkowski¹,

Lubowiecki-Vikuk²

2019

ERSJ

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Purpose: The purpose of this paper is to identify and diagnose the activities of national destination management organizations (DMOs) from Central and Eastern European countries (CEEC) in the scope of a visual identification of health tourism destinations. Design/Methodology/Approach: The investigations were conducted on three stages: (1) a verification was performed of the existence of national DMOs in CEEC; (2) when making targeted selection, a questionnaire interviews were performed with 16 DMO representatives; (3) desk research was conducted, i.e. an analysis of the contents of the official websites/ portals and social media of DMOs. Findings: The role of health tourism is to grow in the coming years in the opinion expressed by the DMOs examined. The organizations under examination try to address this trend by indicating that health tourism, even at its current stage, constitutes a fairly important tourism product. The current status of the visual identification of HTD created by DMOs in the states under examination is rather poor. A small part of organizations identify themselves directly with the health tourism product. A significant part of the organizations do not undertake any activities in this area. In turn, those that do undertake such activities rely primarily on fairly common elements such as: an internet website, possibly a logo and an advertising slogan. Practical Implications: The results may serve as a point of departure for taking adequate activities aimed promotion at the health tourism product not only by other national DMOs but also by similar organizations on the regional or local level. Originality/Value: The variety of health tourism products available at CEEC puts new tasks for DMOs. The article highlights the important role of the entity that is responsible for the management of the HTD brand.

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“…The inbound MT has evolved into a rapidly emerging market for many countries and has also been identi ed as a potential sector of economic growth and diversi cation. Furthermore, the MT represents a relatively young branch of international trade, that has advanced into a billion-dollar market during the last decades and has attracted the interest of the scienti c community (3). Germany is actively participating in this market.…”

Section: Introductionmentioning

confidence: 99%

Demographics and trends for inbound medical tourism in Germany for orthopedic patients before and during the COVID-19 pandemic

Heinz¹,

Eidmann²,

Jakuscheit³

et al. 2022

Preprint

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Background: Medical tourism is a rapidly growing sector of economic growth and diversification. However, data on the demographics and characteristics of the travelling patients are sparse. In this study we analyzed common demographic properties and characteristics of the inbound medical tourists seeking orthopedic medical care in Germany for the years 2010 to 2019 compared to a domestic group. At the same time, we examined how the COVID-19 pandemic outbreak of 2020 changed the field of medical tourism in Germany. Methods: Calculations were performed using administrative hospital data provided by the Federal Statistical Department of Germany. Data were analyzed from the years 2010 to 2020. Six elective orthopedic surgery codes (bone biopsy, knee arthroplasty, foot surgery, osteotomy, hardware removal and arthrodesis) were identified as key service-indicators for medical tourism and further analyzed. Factors including residence, sex, year, and type of elective surgery were modeled using linear regression analysis. Age and sex distributions were compared between patients living inside Germany (DE) or outside Germany (non-DE). Results: Between 2010 and 2020 6,261,801 orthopedic procedures were coded for the DE group and 27,420 key procedures were identified for the non-DE group. Medical tourists were predominantly male and significantly younger than the domestic population. Linear regression analysis of the OPS codes over the past years showed a significantly different slope between the DE and non-DE groups only for the OPS code "hardware removal". With the COVID-19 pandemic an overall decline in performed orthopedic procedures was observed for the non-DE and the DE group. A significant reduction below the 95% prediction bands for the year 2020 could be shown for hardware removal and foot surgery (for DE) and for hardware removal, knee arthroplasty, foot surgery and osteotomy (for non-DE). Conclusion: This study is the first to quantify inbound medical tourism in elective orthopedic surgery in Germany. The COVID-19 pandemic negatively affected many - but not all - areas of orthopedic surgery. It has to be seen how this negative trend will develop in the future.

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An evidence-based policy for improving choice in global health access through medical travel

Cited by 8 publications

References 17 publications

Tenosynovitis of the Flexor Digitorum and Flexor Carpi Caused by <i>Mycobacterium Tuberculosis</i>: Case Report and Review

Tenosynovitis of the Flexor Digitorum and Flexor Carpi Caused by <i>Mycobacterium Tuberculosis</i>: Case Report and Review

Destination Management Organizations and Health Tourism Visual Identification in Central and Eastern Europe

Demographics and trends for inbound medical tourism in Germany for orthopedic patients before and during the COVID-19 pandemic

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