Orthopaedic medical tourism

Eltorai, Adam E.M.; Garimella, Roja

doi:10.1002/msc.1220

Cited by 3 publications

(4 citation statements)

References 10 publications

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“…Globalization made a tremendous change in the field of medical tourism. Where medical tourism used to be from less-developed to more-developed countries, traveling to less-developed countries in order to lower costs and bypass waiting lists, or governmental regulations has become an attractive option (Eltorai & Garimella, 2018). In recent years, citizens of Asia and Africa have spent billions of dollars for medical treatment in other countries (Shetty, 2010;Seo & Park, 2018).…”

Section: Medical Tourism As a Phenomenamentioning

confidence: 99%

Medical Tourism in a Socialized Health Care System—The Need for Strict Systemic Supervision

Perry¹,

Apel‐Sarid²,

Salzer³

et al. 2019

RHS

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Medical tourism is defined by the active act of traveling from a patient’s country of origin to a different country, specifically to receive medical treatment. Globalization has made a tremendous change in the field of medical tourism. Medical tourism statistics revealed an anticipated growth of the industry from about $40 billion in 2004 to $100 billion by 2012, as estimated by the McKinsey Company (Shetty, 2010). The size of the global medical tourism market increased about 2.5 times from 2004 to 2012 by approximately USD 10 billion, and it is expected to reach approximately USD 33 billion by 2019 (Seo & Park, 2018). Israel has emerged as a medical tourism destination due to the advantages it can offer. Israel’s facilities are recognized throughout the world, and provide high quality of care at reasonable prices. But, Israel has a socialized health care system. This means that the national health insurance program is financed mainly by the government from public sources, such as health insurance tax that is collected by the general payroll and other general tax revenues, but also directly from the public through out-of-pocket money and private complementary health insurances. In comparison to OECD countries, Israel’s hospitals are characterized by a very low bed to population ratio, an extremely low average length of stay, a high rate of admissions per 1000 population, and a high occupancy rate, which means this is already a very “lean” and effective system, that is on the verge of collapse due to a lack of funding. In relation to this medical tourism raises a lot of ethical, moral and economic issues for the Israeli health system. In the current article we try to shed some light upon these problems and suggest feasible solutions for them.We suggest that countries should adopt an ethical code and health policy, which will be used by local hospitals to maintain the delicate balance between medical services to the local population and medical tourism.

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Section: Medical Tourism As a Phenomenamentioning

confidence: 99%

Medical Tourism in a Socialized Health Care System—The Need for Strict Systemic Supervision

Perry¹,

Apel‐Sarid²,

Salzer³

et al. 2019

RHS

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“…In a globalizing world, medical services are no longer confined to national borders, as millions of people take advantage of high-quality and affordable medical services available abroad. 1 , 2 This is also the case in Israel, in which the provision of medical tourism services has been on the rise over the past two decades. 3…”

Section: Introductionmentioning

confidence: 97%

Hemato-oncology Tourism in Israel: A Retrospective Review

Hod

Bronstein

Chodick

et al. 2020

JCO Global Oncology

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PURPOSE Despite the significant increase in medical tourism worldwide, data on medical tourist (MT) clinical characteristics and treatment outcomes are lacking. Many MTs who choose Israel to receive medical services are individuals diagnosed with hematologic malignancies. The purpose of this study was to describe hemato-oncology MTs and to compare their disease characteristics and treatment outcomes to a control group of local (Israeli) hemato-oncology patients. MATERIALS AND METHODS In this retrospective review, we analyzed hospital records of all hemato-oncology tourists and Israeli patients diagnosed and/or treated at the Institute of Hematology, Assuta Medical Center, between 2014 and 2016. MT and local patient demographics, clinical characteristics, and treatment outcomes were compared. MT data were also analyzed according to their commitment to treatment in Israel. RESULTS Data on 110 MTs (median age, 51.0 years; 53.6% women) and 122 local patients (median age, 65.0 years; 41.8% women) diagnosed with non-Hodgkin lymphoma (NHL), Hodgkin lymphoma, and multiple myeloma were analyzed. The most common hematologic malignancy in both MTs and local patients was NHL (54.5% and 73.0%, respectively). Among MTs, 32.7% were fully committed to treatment in Israel, 32.7% were partially committed, and 34.6% were not committed. In 25.9% of MTs, a review of their biopsy resulted in a more definitive or different diagnosis. The percentage of patients who achieved complete response to treatment was similar among MTs and local patients. CONCLUSION MTs often require a pathologic review of their initial diagnosis and are more likely to present with advanced stages of disease. Treatment of MTs according to the appropriate clinical parameters is expected to yield similar outcomes to those of local patients.

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“…Unfortunately, structures motivated by financial gain by themselves are unlikely to promote social improvements. 21 Finally, consideration of the ethical impact of surgical tourism needs immediate attention. Organ trade remains illegal almost worldwide, 22 but with massive increases in surgical tourism, there has been a corresponding increase in this evil.…”

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confidence: 99%

“…Unfortunately, structures motivated by financial gain by themselves are unlikely to promote social improvements. 21…”

mentioning

confidence: 99%

Surgical tourism in low- and middle-income countries: Current Status and the impact on the poor

Cotton,

Shalabi,

Shalabi

2023

Trop Doct

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Travelling for medical attention has long been an obligation. Obtaining specialist care remains problematic for many, particularly those with rare conditions. Antony Eden, former British Prime Minister, travelled several times to the USA for biliary reconstruction. 1 Several African presidents have elected to obtain treatment outside their own countries, namely Banda from Malawi to South Africa, Mugabe from Zimbabwe to Singapore, though more for geopolitical than medical reasons.Army personnel injured in far-flung parts are routinely ferried to trauma centres elsewhere. Anyone with a rarity such as a carotid body tumour would elect to be operated upon by someone who has seen more than one or two in his whole career! Thus there is a distinct logic behind such migratory medicine.However, a new dimension has emerged; travel for medical and especially surgical care, has morphed into a totally new and different phenomenon, 2 now known as 'Medical' or 'Surgical Tourism'. Worldwide, this is a 100-billion US$ industry where patients travel often far outside their own country for elective interventions, usually over a relatively short term.In 2019 at least 248,000 UK residents travelled abroad for medical treatment and at least 100,000 residents of foreign countries travelled to the UK, several somewhat clandestinely, including those popularly known as the 'Lagos Shuttle', describing ladies in advanced stages of pregnancy arriving daily from Nigeria at Gatwick or Heathrow airports in London. 3 Motivation for such travel is mixed, but driven mostly by affordable cost, favourable reports, and personal recommendation. 4,5 Over 60% were for relatively minor procedures, their more ready availability elsewhere suggesting travel may be for non-standard or somewhat eccentric practice.However, in India and the Far East, more serious interventions are the norm, ranging over cardiac, orthopaedic, plastic, ophthalmologic, dental and indeed the whole gamut of surgical practice. The three most popular incoming countries include Thailand, India, and Singapore, catering for 2.5-5million patients per year. There are two main driving forces; lower prices and high quality, 4 though

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Orthopaedic medical tourism

Cited by 3 publications

References 10 publications

Medical Tourism in a Socialized Health Care System—The Need for Strict Systemic Supervision

Medical Tourism in a Socialized Health Care System—The Need for Strict Systemic Supervision

Hemato-oncology Tourism in Israel: A Retrospective Review

Surgical tourism in low- and middle-income countries: Current Status and the impact on the poor

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